Dr. Jeremy David Derose is a Minden, Louisiana based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jeremy David Derose is 7248 for Dentistry in Louisiana. His current practice location is 164 Country Club Cir Ste A, Minden. Patients can reach him at 318-639-9559.
Dr. Jeremy David Derose is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jeremy David Derose speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jeremy David Derose
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
164 Country Club Cir Ste A, Minden, Louisiana, 71055-7502
Phone:
318-639-9559
Fax:
318-639-9560
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1134799646
NPI Enumeration Date:
28 Jun, 2021
NPI Last Update On:
29 Jun, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeremy David Derose are as mentioned below.
License Number
Specialization
State
Status
7248
Dentistry
Louisiana
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeremy David Derose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
7248
Other
Louisiana
LOUISIANA STATE BOARD OF DENTISTRY
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
164 Country Club Cir Ste A, Minden, Louisiana
Zip:
71055-7502
Phone Number:
318-639-9559
Fax Number:
318-639-9560
Patients can reach Dr. Jeremy David Derose at 164 Country Club Cir Ste A, Minden, Louisiana or can call to book an appointment on 318-639-9559. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.