National Provider Identifier
Joseph Anthony Derose, D.D.S.
Joseph Anthony Derose, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Lackawanna, NY and a listed phone number of (716) 828-9334.
Profile Overview
- NPI
- 1538342928
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- December 09, 2007
- Last Updated
- December 09, 2007
Practice Location
- 790 Ridge RD
- Lackawanna, NY 14218-1629
Phone: (716) 828-9334
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1538342928
- Entity Type
- Individual
- Last Name
- Derose
- First Name
- Joseph
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 790 Ridge RD
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1629
- Mailing Country
- US
- Mailing Phone
- (716) 828-9334
- Practice Street Address
- 790 Ridge RD
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1629
- Practice Country
- US
- Practice Phone
- (716) 828-9334
- Enumeration Date
- December 09, 2007
- Last Updated
- December 09, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)