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SCOTT S DEROSSI DMD
NPI 1184667370
Oral & Maxillofacial Surgery in Augusta, GA

Active since June 14, 2006
1430 JOHN WESLEY GILBERT DRIVE, GC-1024, GHSU COLLEGE OF DENTAL MEDICINE, AUGUSTA, GA 30912(706) 721-9633(706) 723-0266 Get Directions Write a Review

NPPES record last updated: November 30, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott S Derossi Dmd NPPES

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

SCOTT S DEROSSI DMD (NPI 1184667370) is an individual oral & maxillofacial surgery provider in Augusta, Georgia, licensed in Pennsylvania (DS029512L) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1184667370
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSCOTT S DEROSSICredential: DMD
Location Address1430 JOHN WESLEY GILBERT DRIVE, GC-1024, GHSU COLLEGE OF DENTAL MEDICINEAugusta, GA 30912-1001
Mailing Address1430 John Wesley Gilbert Drive, Gc-1024, Ghsu College Of Dental MedicineAugusta, GA 30912-1001 · (706) 721-9633 · Fax (706) 723-0266
Phone(706) 721-9633
Fax(706) 723-0266
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 30, 2012
✔ NPI 1184667370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in PA · DS029512L
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1430 JOHN WESLEY GILBERT DRIVE, GC-1024, Augusta, GA 30912
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Other Identifiers 3

Medicaid0016969200001PA
Medicare UPINU70931
Medicare ID-Type Unspecified010623PA

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 Scott Derossi's NPI number?

The NPI number for Scott Derossi is 1184667370. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Scott Derossi located?

Scott Derossi practices at 1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College Of Dental Medicine, Augusta, GA 30912. The listed phone number is (706) 721-9633.

What is Scott Derossi's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Scott Derossi was last updated on November 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.