Search › Louisiana › 122300000X
Gregory Derose, DDS
NPI 1225601511 · on the registry since 2021
Practice
- Address
- 7223 Mississippi Avenue
Bldg 1561
Fort Polk, LA 71459 - Phone
- (337) 531-2603
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-23
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