Scott S Derossi, DMD Valid NPI
Individual provider · Oral & Maxillofacial Surgery (D.M.D.) · Augusta, GA
- NPI
- 1184667370
- Type
- Individual (Type 1)
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.) (Oral & Maxillofacial Surgery)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 204E00000X
- License number
- DS029512L (PA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-06-14
- Last updated
- 2012-11-30
Practice location
1430 John Wesley Gilbert Drive, Gc-1024, Ghsu College Of Dental Medicine
Augusta, GA 30912-1001
(706) 721-9633