OrganizationActive
Michael a Derose DDS PA
NPI 1164467411 · General Practice Dentistry · Winston Salem, NC
Michael a Derose DDS PA is a General Practice Dentistry organization in Winston Salem, NC (NPI 1164467411).
Provider details
- NPI number
- 1164467411
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Michael Derose, Owner(336) 777-0303
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147
Phone: (336) 777-0303
Fax: (336) 777-3448
Street-level locationGet directions
Mailing address
2041 Silas Creek Pkwy
Winston Salem, NC 27103-5147
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2022-07-21
Frequently asked questions
- What is Michael a Derose DDS PA's NPI number?
- Michael a Derose DDS PA's National Provider Identifier (NPI) is 1164467411, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michael a Derose DDS PA?
- Michael a Derose DDS PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Michael a Derose DDS PA located?
- Michael a Derose DDS PA's practice location on file with NPPES is 2041 Silas Creek Pkwy, Winston Salem, NC 27103-5147.
- What is Michael a Derose DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Michael a Derose DDS PA is (336) 777-0303.
- Who is the authorized official for Michael a Derose DDS PA?
- The authorized official listed on Michael a Derose DDS PA's NPPES record is Michael Derose, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michael a Derose DDS PA's NPI active?
- Yes — Michael a Derose DDS PA's NPI (1164467411) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.