Gregory Derose Jr. is a Fort Polk, 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 Gregory Derose Jr. is
4515 for Dentistry in Arkansas. His current practice location is
7223 Mississippi Avenue, Bldg 1561, Fort Polk. Patients can reach him at
337-531-2603.
Gregory Derose Jr. 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:
Gregory Derose Jr. 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: | Gregory Derose Jr. |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 7223 Mississippi Avenue, Bldg 1561, Fort Polk, Louisiana, 71459 |
| Phone: | 337-531-2603 |
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: | 1225601511 |
| NPI Enumeration Date: | 23 Jul, 2021 |
| NPI Last Update On: | 23 Jul, 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 Gregory Derose Jr. are as mentioned below.
| License Number | Specialization | State | Status | |
| 4515 | Dentistry | Arkansas | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 7223 Mississippi Avenue, Bldg 1561 Fort Polk, Louisiana |
| Zip: | 71459 |
| Phone Number: | 337-531-2603 |
Patients can reach Gregory Derose Jr. at
7223 Mississippi Avenue, Bldg 1561, Fort Polk, Louisiana or can
call to book an appointment on 337-531-2603.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.