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GREGORY DEROSE JR. DDS
NPI 1225601511
Dentist in Fort Polk, LA

Active since July 23, 2021
7223 MISSISSIPPI AVENUE, BLDG 1561, FORT POLK, LA 71459(337) 531-2603 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gregory Derose Jr. Dds NPPES

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

GREGORY DEROSE JR. DDS (NPI 1225601511) is an individual dentist in Fort Polk, Louisiana, licensed in Arkansas (4515) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1225601511
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameGREGORY DEROSE JR.Credential: DDS
Location Address7223 MISSISSIPPI AVENUE, BLDG 1561Fort Polk, LA 71459
Mailing Address7223 Mississippi Avenue, Bldg 1561Fort Polk, LA 71459 · (337) 531-2603
Phone(337) 531-2603
Sole ProprietorNo
Enumeration DateJuly 23, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1225601511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AR · 4515
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.
7223 MISSISSIPPI AVENUE, Fort Polk, LA 71459
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Other Providers at the Same Location NPPES 9

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

SANDRA THOMPSON
Dental Hygienist
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121
TERESA CONTRERAS
Dental Assistant
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-4854
PATRICK MUNCY
Dental Hygienist
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121
IBRAHIM IDOH DENTAL HYGIENE
Dental Assistant
7223 MISSISSIPPI AVENUE, BLDG 1561
FORT POLK, LA 71459
Vernon Parish (726) 780-1451
JOY MARTIN
Dental Hygienist
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121
KIM EDWARDS
Dental Hygienist
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121
LARRY ZHANG DDS
Dentist
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (726) 780-1103
KEVIN MCDOWELL
Dental Assistant
7223 MISSISSIPPI AVENUE
FORT POLK, LA 71459
Vernon Parish (337) 531-2121

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 Gregory Derose's NPI number?

The NPI number for Gregory Derose is 1225601511. It was assigned to this individual provider in the NPPES registry on July 23, 2021.

Where is Gregory Derose located?

Gregory Derose practices at 7223 Mississippi Avenue Bldg 1561, Fort Polk, LA 71459. The listed phone number is (337) 531-2603.

What is Gregory Derose's specialty?

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

When was this NPI record last updated?

The NPPES record for Gregory Derose was last updated on July 23, 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.