Michael Anthony Derose, - Dentist in Pueblo, CO

Michael Anthony Derose, is a Dentist - General Practice based in Pueblo, Colorado. Michael Anthony Derose is licensed to practice in Colorado (license number DEN-5133) and his current practice location is 1022 Liberty Ln, Pueblo, Colorado. He can be reached at his office (for appointments etc.) via phone at (719) 545-5778.

NPI number for Michael Anthony Derose is 1033185871 and his current mailing address is 415 N Grand Ave, Pueblo, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033185871.

Contact Information

Michael Anthony Derose,
1022 Liberty Ln,
Pueblo, CO 81001-2039
(719) 545-5778
Not Available



Healthcare Provider's Profile

Full NameMichael Anthony Derose
GenderMale
SpecialityDentist - General Practice
Location1022 Liberty Ln, Pueblo, Colorado
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033185871
  • Provider Enumeration Date: 02/23/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Michael Anthony Derose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033185871NPI-NPPES
2051332MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DEN-5133 (Colorado)Primary
1223G0001XDentist - General Practice 12010424A (Indiana)Secondary
1223G0001XDentist - General Practice 5643 (Oklahoma)Secondary
1223G0001XDentist - General Practice DD2030 (New Mexico)Secondary
1223G0001XDentist - General Practice 60184 (Kansas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Anthony Derose is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Anthony Derose,
415 N Grand Ave,
Pueblo, CO 81003-3111

Ph: (719) 546-3333
Michael Anthony Derose,
1022 Liberty Ln,
Pueblo, CO 81001-2039

Ph: (719) 545-5778

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› Verified 3 days ago


Dentist in Pueblo, CO

Dr. Joseph P Zufall, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1930 E Orman Ave, Pueblo, CO 81004
Phone: 719-564-2842    
Dr. James Allen Bergles, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1560 Bonforte Blvd, Pueblo, CO 81001
Phone: 719-544-5340    Fax: 719-583-2206
Dr. Tony Leon Roberts, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 517 W 5th St, Ste 106, Pueblo, CO 81003
Phone: 719-542-6014    Fax: 719-583-7937
Dr. William Abney Corley, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 540 E Abriendo Ave, Suite D, Pueblo, CO 81004
Phone: 719-545-8422    Fax: 719-545-8422
Dr. Elmer Alex Villalon, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1225 N Main St, 207, Pueblo, CO 81003
Phone: 719-542-7844    Fax: 719-542-7870
Dr. Kyle S Schulz, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3911 Outlook Blvd, Pueblo, CO 81008
Phone: 719-544-6788    

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