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Contact Information

SCOTT S DEROSSI, DMD
1430 JOHN WESLEY GILBERT DRIVE, GC-1024
GHSU COLLEGE OF DENTAL MEDICINE
AUGUSTA, GA30912-1001
 Phone: 706-721-9633
 Fax: 706-723-0266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT S DEROSSI · (Male)

NPI Number 1184667370
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 06/14/2006
Last updated 11/30/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • PA License # DS029512L
  • PA Medicaid 0016969200001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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