Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225601511 Individual Practitioner Male Practitioner

Dr. Gregory Derose , DDS

Dentist • Fort Polk, LA

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Derose, DDS is a registered healthcare professional specializing in Dentist in Fort Polk, LA. Practice services are available at 7223 MISSISSIPPI AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7223 Mississippi Avenue
Bldg 1561

Fort Polk, LA 71459

Telephone 3375312603

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Polk, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Fort Polk, LA (964 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AR 4515

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1114641354
NPI 1154085470

Doctor of Dental Medicine

Desiree Stout

Dental Assistant

NPI 1215622642
NPI 1235866310

Doctor of Dental Surgery

NPI 1700566270
Staci Spikes , RDH

Dental Hygienist

NPI 1851045108

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2021

Registered at 7223 MISSISSIPPI AVENUE, BLDG 1561, FORT POLK, LA 71459 (Tel: 3375312603)

📍
Updated Business Mailing Address July 23, 2021

Registered at 7223 MISSISSIPPI AVENUE, BLDG 1561, FORT POLK, LA 71459 (Tel: 3375312603)

👤
Provider Name / Credentials Updated July 23, 2021

Recorded as GREGORY DEROSE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2021

Dentist (License #4515 in AR)

🟢
Initial NPI Registration & Enumeration July 23, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225601511
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2021
Last Update: July 23, 2021
Sole Proprietor: No

Mailing Address

7223 Mississippi Avenue, Bldg 1561

Fort Polk, LA 71459

Phone: 3375312603

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.