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BALLANCE & DEROSE DDS PA
NPI 1053344630
Dentist - General Practice in Greensboro, NC

Active since July 08, 2006
900 SUMMIT AVE, GREENSBORO, NC 27405(336) 370-1112(336) 544-0739 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ballance & Derose Dds Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALLANCE & DEROSE DDS PA (NPI 1053344630) is a healthcare organization registered as a general practice in Greensboro, North Carolina and active in the NPI registry since July 2006. The organization lists Michael Anthony Derose, Owner, as its authorized official.

NPPES Registry Identity

NPI1053344630
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBALLANCE & DEROSE DDS PA
Location Address900 SUMMIT AVEGreensboro, NC 27405-7918
Mailing Address2041 Silas Creek PkwyWinston Salem, NC 27103-5147 · (336) 777-0303 · Fax (336) 777-3448
Phone(336) 370-1112
Fax(336) 544-0739
Organization SubpartNo
Authorized OfficialMichael Anthony DeroseOwner · (336) 777-0303
Enumeration DateJuly 8, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053344630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
900 SUMMIT AVE, Greensboro, NC 27405
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Other Identifiers 2

Medicaid5903666NC
Other018CYBlue Cross Blue Shield Nc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARMEN LIANNE LEARY DDS
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. ELYSA BAILEY DEMORAIS D.D.S.
Dentist
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
JACQUESE OLEAN BLACK DDS
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
PEERANAN S LEE DMD
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. CANDICE TYIERA HODGE DDS
Dentist (General Practice)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
DR. FELICIA MCNEAL MILLNER DDS, MS
Dentist (Pediatric Dentistry)
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112
RAFAEL RIVERA, JR., DDS, PLLC
Dentist
900 SUMMIT AVE
GREENSBORO, NC 27405
Guilford County (336) 370-1112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ballance & Derose Dds PA's NPI number?

The NPI number for Ballance & Derose Dds PA is 1053344630. It was assigned to this organization in the NPPES registry on July 8, 2006.

Where is Ballance & Derose Dds PA located?

Ballance & Derose Dds PA is located at 900 Summit Ave, Greensboro, NC 27405. The listed phone number is (336) 370-1112.

What is Ballance & Derose Dds PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ballance & Derose Dds PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.