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

Gregory Derose Jr., DDS

Individual provider Dentist · NPI 1225601511

Gregory Derose Jr., DDS is a Dentist in Fort Polk, Louisiana. Licensed in Arkansas. Registered with an NPI since 2021.

Licensed in
AR
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

7223 Mississippi Ave Bldg 1561
Fort Polk, LA 71459
Phone: (337) 531-2603
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 4515 (AR)

Record details

NPI number1225601511
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 23, 2021
Last updated in NPPESJuly 23, 2021
Certification dateJune 25, 2021
Mailing address7223 Mississippi Avenue, Bldg 1561, Fort Polk, LA 71459

Other providers in Fort Polk