Scott S Derossi
Oral & Maxillofacial Surgeon
1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College Of Dental Medicine
Augusta
, Georgia 30912-1001
Scott S Derossi
Oral & Maxillofacial Surgeon
1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College Of Dental Medicine
Augusta
, Georgia 30912-1001
(706) 723-0266
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Scott S Derossi
- 1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College Of Dental Medicine
- Augusta, GA
- Zip : 30912-1001
- Fax : (706) 723-0266
- Phone : (706) 721-9633
Second Address
- Scott S Derossi
- 1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College Of Dental Medicine
- Augusta, GA
- Zip : 30912-1001
- Fax : (706) 723-0266
- Phone : (706) 721-9633
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | DS029512L | PA |
National Provider Identifier
| NPI | 1184667370 |
|---|---|
| Provider Name | Scott S Derossi |
| First Address | Augusta, GA 30912-1001 |
| Second Address | Augusta, GA 30912-1001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 30/11/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0016969200001 | (05) | PA |
| U70931 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.