National Provider Identifier
Thomas A Derosa, D.D.S.
Thomas A Derosa, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Rochester, NY and a listed phone number of (585) 275-1117.
Profile Overview
- NPI
- 1114199783
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 24, 2008
- Last Updated
- March 15, 2016
Practice Location
- 625 Elmwood Ave
- Eastman Dental Center
- Rochester, NY 14620-2913
Phone: (585) 275-1117
Mailing Address
- 625 Elmwood Avenue
- Eastman Dental Center
- Rochester, NY 14620-2913
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1114199783
- Entity Type
- Individual
- Last Name
- Derosa
- First Name
- Thomas
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 625 Elmwood Avenue
- Mailing Address Line 2
- Eastman Dental Center
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-2913
- Mailing Country
- US
- Mailing Phone
- (585) 275-1117
- Practice Street Address
- 625 Elmwood Ave
- Practice Address Line 2
- Eastman Dental Center
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-2913
- Practice Country
- US
- Practice Phone
- (585) 275-1117
- Enumeration Date
- March 24, 2008
- Last Updated
- March 15, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- General Practice Dentistry (1223G0001X)