National Provider Identifier
Peter D. Derose, D.D.S.
Peter D. Derose, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in West Seneca, NY and a listed phone number of (716) 362-4800.
Profile Overview
- NPI
- 1407058407
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- June 01, 2007
- Last Updated
- November 01, 2023
Practice Location
- 3030 Orchard Park RD
- West Seneca, NY 14224-4667
Phone: (716) 362-4800
Mailing Address
- 522 Franklin St
- Buffalo, NY 14202-1110
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1407058407
- Entity Type
- Individual
- Last Name
- Derose
- First Name
- Peter
- Middle Name
- D.
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 522 Franklin St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1110
- Mailing Country
- US
- Mailing Phone
- (716) 883-0005
- Mailing Fax
- (716) 883-0176
- Practice Street Address
- 3030 Orchard Park RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-4667
- Practice Country
- US
- Practice Phone
- (716) 362-4800
- Practice Fax
- (716) 348-3424
- Enumeration Date
- June 01, 2007
- Last Updated
- November 01, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 01, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)