Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael a Derose DDS PA

Organization General Practice Dentistry · NPI 1457389108

Michael a Derose DDS PA is a General Practice Dentistry in Raleigh, North Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3212 S Wilmington St
Raleigh, NC 27603-3538
Phone: (919) 773-3002
Fax: (919) 773-8824
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1457389108
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Derose — Owner · (336) 777-0303
NPI enumeratedJune 30, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147

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