RICK J DEROVEN DDS PC
NPI 1255924601
Dentist - General Practice in Walled Lake, MI

Active since February 17, 2021
2340 S COMMERCE RD, WALLED LAKE, MI 48390(248) 624-0676 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rick J Deroven Dds Pc NPPES

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

RICK J DEROVEN DDS PC (NPI 1255924601) is a healthcare organization registered as a general practice in Walled Lake, Michigan and active in the NPI registry since February 2021. The organization lists Rick J Deroven, Owner, as its authorized official.

NPPES Registry Identity

NPI1255924601
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRICK J DEROVEN DDS PC
Location Address2340 S COMMERCE RDWalled Lake, MI 48390-2174
Mailing Address2340 S Commerce RdWalled Lake, MI 48390-2174
Organization SubpartNo
Authorized OfficialRick J DerovenOwner · (248) 624-0676
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
NPI 1255924601 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.
2340 S COMMERCE RD, Walled Lake, MI 48390

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 5

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

Clinic/Center (Dental)
2340 S COMMERCE RD
WALLED LAKE, MI 48390
Dentist (General Practice)
2340 S COMMERCE RD
WALLED LAKE, MI 48390
Dentist (General Practice)
2340 S COMMERCE RD
WALLED LAKE, MI 48390
Student in an Organized Health Care Education/Training Program
2340 S COMMERCE RD
WALLED LAKE, MI 48390
Dentist
2340 S COMMERCE RD, STE 1
WALLED LAKE, MI 48390

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 Rick J Deroven Dds PC's NPI number?

The NPI number for Rick J Deroven Dds PC is 1255924601. It was assigned to this organization in the NPPES registry on February 17, 2021.

Where is Rick J Deroven Dds PC located?

Rick J Deroven Dds PC is located at 2340 S Commerce Rd, Walled Lake, MI 48390. The listed phone number is (248) 624-0676.

What is Rick J Deroven Dds PC'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 Rick J Deroven Dds PC was last updated on February 17, 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.