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Michael A Derose DDS PA

General Practice Dentistry in Raleigh, NC · enumerated 2006 · authorized official Michael Derose, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1457389108

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Registry record

Entity type Organization (Type 2)
Legal business name Michael A Derose DDS PA
Practice address 3212 S Wilmington St, Raleigh, NC, 27603
Phone (919) 773-3002
Fax (919) 773-8824
Enumeration date Jun 30, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Michael Derose
Title Owner
Phone (336) 777-0303

Other identifiers

Identifier Type State Issuer
012RV Other — BLUE CROSS BLUE SHIELD NC
89012RV Medicaid NC —

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Michael A Derose DDS PA?
The NPI for Michael A Derose DDS PA is 1457389108, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Michael A Derose DDS PA?
NPPES lists Michael Derose (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.