# DEREK J DOSS DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doss Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336456771
- **Authorized official:** DR. DEREK DOSS (MEMBER MANAGER)
- **Authorized official phone:** (205) 238-1345

## Contact information

- **Practice address:** 90 MARKETPLACE CIR, SUITE A, CALERA, AL 35040-8200
- **Practice address phone:** (205) 238-1345
- **Mailing address:** 56 CALERA MARKET PLACE CIRCLE, CALERA, AL 35040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 5765 | AL | Yes |

## Other

- **Enumeration date:** 09/07/2010
- **Last updated:** 09/07/2010