Michael Anthony Derose
Michael Anthony Derose is a General Practice Dentistry in Pueblo, Colorado. Licensed in Colorado, Indiana, Kansas and New Mexico and 1 more. Registered with an NPI since 2006.
- Licensed in
- CO, IN, KS, NM, OK
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
1022 Liberty LnPueblo, CO 81001-2039
Phone: (719) 545-5778
Show map & directions
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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 · Licence DEN-5133 (CO) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 12010424A (IN) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 5643 (OK) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence DD2030 (NM) |
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 60184 (KS) |
Record details
| NPI number | 1033185871 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 23, 2006 |
| Last updated in NPPES | July 13, 2026 |
| Mailing address | 415 N Grand Ave, Pueblo, CO 81003-3111 |
Other providers in Pueblo
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Cover Family Dental
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Dr. Ronald D. Daurio, DDS
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Dental Health Services PC
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Derose Children's Dental Clinic, PC
1022 Liberty Ln, Pueblo, CO 81001-2039 · (719) 545-5775
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Down to Earth Dental
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Dr Tony Roberts DDS LLC
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Duilio a Stricca DDS PC
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Dr. Tomas Leonides Duran, DDS
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