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Michael A Derose DDS PA

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

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

National Provider Identifier

1598700775

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Registry record

Entity type Organization (Type 2)
Legal business name Michael A Derose DDS PA
Practice address 4901 N Tryon St, Charlotte, NC, 28213
Fax (704) 921-4095
Enumeration date Jun 19, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Michael Derose
Title Owner

Other identifiers

Identifier Type State Issuer
89014NG Medicaid NC -
014NG Other - BLUE CROSS BLUE SHIELD 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 type of organization is Michael A Derose DDS PA?
Michael A Derose DDS PA is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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