Amsale Derese, DDS

General Practice Dentistry · Henderson, TX

Individual Active NPI

NPI number 1518443324

Practice location

1115 Us Highway 259 S
Henderson, TX 75654-3629
Phone
(903) 392-8251

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NPI record

NPI
1518443324
Entity type
Individual (Type 1)
Enumeration date
July 15, 2018
Last updated
May 26, 2021
Certified
May 26, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 34286 TX

About Dr. Derese

Amsale Derese, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1115 Us Highway 259 S, Henderson, TX 75654-3629. The NPI number 1518443324 was assigned on July 15, 2018 and the record was last updated on May 26, 2021.

Dr. Derese lists a license in the registry: #34286 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amsale Derese, DDS?

The NPI number is 1518443324.

What is the phone number of Dr. Derese?

The phone number listed for the practice location is (903) 392-8251.

Where is Dr. Derese located?

1115 Us Highway 259 S, Henderson, TX 75654-3629.

What is the taxonomy code for Dr. Derese?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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