Jeremy Derose, DDS
NPI 1134799646 · on the registry since 2021 · sole proprietor
Practice
- Address
- 164 Country Club Cir Ste A
Minden, LA 71055 - Phone
- (318) 639-9559
- Fax
- (318) 639-9560
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana