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MICHAEL A DEROSE DDS PA
NPI 1598700775
Dentist - General Practice in Charlotte, NC

Active since June 19, 2006
4901 N TRYON ST, CHARLOTTE, NC 28213(704) 921-0204(704) 921-4095 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael A Derose Dds Pa NPPES

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

MICHAEL A DEROSE DDS PA (NPI 1598700775) is a healthcare organization registered as a general practice in Charlotte, North Carolina and active in the NPI registry since June 2006. The organization lists Michael Anthony Derose, Owner, as its authorized official.

NPPES Registry Identity

NPI1598700775
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL A DEROSE DDS PA
Location Address4901 N TRYON STCharlotte, NC 28213-7033
Mailing Address2041 Silas Creek PkwyWinston Salem, NC 27103-5147 · (336) 777-0303 · Fax (336) 777-3448
Phone(704) 921-0204
Fax(704) 921-4095
Organization SubpartNo
Authorized OfficialMichael Anthony DeroseOwner · (336) 777-0303
Enumeration DateJune 19, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598700775 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.
4901 N TRYON ST, Charlotte, NC 28213
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Other Identifiers 2

Medicaid89014NGNC
Other014NGBlue 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 11

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

RAFAEL RIVERA JR. DDS
Dentist (General Practice)
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
JEFFREY FRANK ZIEZIULA DDS
Dentist (General Practice)
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
RAFAEL RIVERA, JR, DDS, PLLC
Dentist
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
DR. ASHLEY HUNT CHANDLER D.D.S.
Dentist
4901 N TRYON ST, CHARLOTTE
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
PRIYA SHAH DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 981-2110
CATHERINE KIM SCHNEIDER DDS
Dentist (General Practice)
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
DR. JULIE CUSTRED SPIVEY DMD
Dentist (Pediatric Dentistry)
4901 N TRYON ST, UNIT A
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204
EMILY W HEIMBROOK DMD
Dentist
4901 N TRYON ST
CHARLOTTE, NC 28213
Mecklenburg County (704) 921-0204

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 Michael A Derose Dds PA's NPI number?

The NPI number for Michael A Derose Dds PA is 1598700775. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Michael A Derose Dds PA located?

Michael A Derose Dds PA is located at 4901 N Tryon St, Charlotte, NC 28213. The listed phone number is (704) 921-0204.

What is Michael A 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 Michael A 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 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.