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

Dr. Jeremy David Derose, DDS

Individual provider Dentist · NPI 1134799646

Dr. Jeremy David Derose, DDS is a Dentist in Minden, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2021
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

164 Country Club Cir Ste A
Minden, LA 71055-7502
Phone: (318) 639-9559
Fax: (318) 639-9560
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7248 (LA)

Record details

NPI number1134799646
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 28, 2021
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address164 Country Club Cir Ste A, Minden, LA 71055-7502

Other providers in Minden