| Dr Jeremy David Derose, DDS | |
|
164 Country Club Cir Ste A, Minden, LA 71055-7502 | |
| (318) 639-9559 | |
| (318) 639-9560 |
| Full Name | Dr Jeremy David Derose |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 164 Country Club Cir Ste A, Minden, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134799646 | NPI | - | NPPES |
| 7248 | Other | LA | LOUISIANA STATE BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7248 (Louisiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy David Derose, DDS 164 Country Club Cir Ste A, Minden, LA 71055-7502 Ph: (318) 639-9559 | Dr Jeremy David Derose, DDS 164 Country Club Cir Ste A, Minden, LA 71055-7502 Ph: (318) 639-9559 |
Fred V Cabaniss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 Elm St, Minden, LA 71055 Phone: 318-377-9411 Fax: 318-377-1424 | |
Zachary M Goodman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 909 Elm St, Minden, LA 71055 Phone: 318-377-9411 | |
Dr. Edward De Witt Brown Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 600 Cline St., Minden, LA 71055 Phone: 318-377-0763 Fax: 318-377-0764 | |
Dr. Richard Whiteman Campbell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 714 Goode Ave, Minden, LA 71055 Phone: 318-377-2745 Fax: 318-377-2746 | |
Dr. Justin Levi Procell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 Homer Rd, Minden, LA 71055 Phone: 318-377-9411 | |
Dr. Kaleigh Morgan Bundy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 116 Homer Rd, Minden, LA 71055 Phone: 318-377-9411 |