Michael Anthony Derose is a Pueblo, Colorado based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Michael Anthony Derose is DEN-5133 for General Practice Dentistry in Colorado. His current practice location is 1022 Liberty Ln, Pueblo. Patients can reach him at 719-545-5778.
Michael Anthony 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:
Michael Anthony 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:
Michael Anthony Derose
Specialization:
Dentist
Gender:
Male
Accepts Medicare Assignment:
No
Practice Address:
1022 Liberty Ln, Pueblo, Colorado, 81001-2039
Phone:
719-545-5778
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:
1033185871
NPI Enumeration Date:
23 Feb, 2006
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Anthony Derose are as mentioned below.
License Number
Specialization
State
Status
DEN-5133
General Practice Dentistry
Colorado
Primary
12010424A
General Practice Dentistry
Indiana
Secondary
5643
General Practice Dentistry
Oklahoma
Secondary
DD2030
General Practice Dentistry
New Mexico
Secondary
60184
General Practice Dentistry
Kansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Michael Anthony Derose such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
2051332
Medicaid
Colorado
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
415 N Grand Ave, Pueblo, Colorado
Zip:
81003-3111
Phone Number:
719-546-3333
Patients can reach Michael Anthony Derose at 1022 Liberty Ln, Pueblo, Colorado or can call to book an appointment on 719-545-5778. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.