| Gregory Derose Jr, DDS | |
|
7223 Mississippi Avenue, Bldg 1561, Fort Polk, LA 71459 | |
| (337) 531-2603 | |
| Not Available |
| Full Name | Gregory Derose Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 7223 Mississippi Avenue, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225601511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4515 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Derose Jr, DDS 7223 Mississippi Avenue, Bldg 1561, Fort Polk, LA 71459 Ph: (337) 531-2603 | Gregory Derose Jr, DDS 7223 Mississippi Avenue, Bldg 1561, Fort Polk, LA 71459 Ph: (337) 531-2603 |
Maria Alma Martinez, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7223 Mississippi Ave, Fort Polk, LA 71459 Phone: 337-531-4962 | |
Dr. Dona Taherizadegan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5622 Bazydlo Ct, Fort Polk, LA 71459 Phone: 805-857-1215 | |
Dr. Tony Youngchang Song, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7223 Mississippi Ave, Fort Polk, LA 71459 Phone: 726-780-2175 | |
Dr. Pamela Chan Kamolpechara, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1840 Bell Richard Ave, Bldg 2157, Fort Polk, LA 71459 Phone: 337-531-4854 | |
Stephanie Dyane Thomas, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7223 Mississippi Ave, Fort Polk, LA 71459 Phone: 337-531-4762 | |
Aaron Stoker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3832 | |
Dr. Malcolm Edward Thornton, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: Fort Polk Dentac, 1585 3rd Street, Ste 6119a, Fort Polk, LA 71459 Phone: 337-531-4400 Fax: 337-531-4715 |