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DR. JEREMY DAVID DEROSE DDS
NPI 1134799646
Dentist in Minden, LA

Active since June 28, 2021
164 COUNTRY CLUB CIR STE A, MINDEN, LA 71055(318) 639-9559(318) 639-9560 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jeremy David Derose Dds NPPES

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

DR. JEREMY DAVID DEROSE DDS (NPI 1134799646) is an individual dentist in Minden, Louisiana, licensed in Louisiana (7248) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1134799646
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEREMY DAVID DEROSECredential: DDS
Location Address164 COUNTRY CLUB CIR STE AMinden, LA 71055-7502
Mailing Address164 Country Club Cir Ste AMinden, LA 71055-7502 · (318) 639-9559 · Fax (318) 639-9560
Phone(318) 639-9559
Fax(318) 639-9560
Sole ProprietorYes
Enumeration DateJune 28, 2021
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1134799646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in LA · 7248
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
164 COUNTRY CLUB CIR STE A, Minden, LA 71055
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Other Identifiers 1

Other7248LA · Louisiana State Board Of Dentistry

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental.Insurance ›

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 Jeremy Derose's NPI number?

The NPI number for Jeremy Derose is 1134799646. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Jeremy Derose located?

Jeremy Derose practices at 164 Country Club Cir Ste A, Minden, LA 71055. The listed phone number is (318) 639-9559.

What is Jeremy Derose's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jeremy Derose accept?

Health plans from Delta Dental list Jeremy Derose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremy Derose was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.