NPI 1184667370

Scott S Derossi, DMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Augusta, GA

Practice location

Address: 1430 John Wesley Gilbert Drive, Gc-1024 Ghsu College of Dental Medicine, Augusta, GA 30912-1001
Phone: (706) 721-9633
Fax: (706) 723-0266

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence DS029512L (PA)

Other Oral & Maxillofacial Surgery providers in Georgia →

Registry record

NPI: 1184667370
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2006
Record last updated: 30 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.