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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.