DICKERSON ENTERPRISES, INCORPORATED (NPI# 1558493460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558493460 |
Entity Type | Organization |
Organization Name | DICKERSON ENTERPRISES, INCORPORATED |
Practice Address |
6755 E Superstition Springs Blvd Suite 203 Mesa AZ 85206-4373 |
Practice Telephone | 4802186030 |
Practice Fax Number | 4802186057 |
Mailing Telephone | 4802186030 |
Mailing Fax Number | 4802186057 |
Enumeration Date | 2007-03-09 |
Last Update Date | 2008-03-17 |
Authorized Official Name | DR. DERRICK J DICKERSON (PRESIDENT) |
Authorized Official Telephone | 4802186030 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D4940 | AZ | Dental Providers |
Street Address |
6755 E SUPERSTITION SPRINGS BLVD SUITE 203 |
City | MESA |
State | AZ |
Zip Code | 85206-4373 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891795282 | Paul Wadley Haycock | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2005-07-28 |
1063649192 | East Valley Periodontics | Dentist | 6755 E Superstition Springs Blvd, Ste. 102, Mesa, AZ 85206-4373 | 2009-06-16 |
1821242082 | Morley J. Smith, Dmd, PC | Dentist | 6755 E Superstition Springs Blvd, Suite 102, Mesa, AZ 85206-4373 | 2008-11-13 |
1841491255 | Treven B Rollins | Dentist | 6755 E Superstition Springs Blvd, Ste 0201, Mesa, AZ 85206 | 2007-05-31 |
1245447499 | Arlon M Petersen | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-05-17 |
1063637197 | Rollins & Petersen Orthodontics Plc | Dentist | 6755 E Superstition Springs Blvd, Ste 201, Mesa, AZ 85206 | 2007-04-16 |
1558584045 | Mark S. Hamblin | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-11 |
1144342155 | Mark S. Hamblin, D.d.s., P.C. | Dentist | 6755 E Superstition Springs Blvd, Suite #202, Mesa, AZ 85206-4373 | 2007-04-03 |
1366531402 | Derrick J Dickerson | Dentist | 6755 E Superstition Springs Blvd, 203, Mesa, AZ 85206 | 2006-10-12 |
1932132651 | Arizona Maxillofacial Surgeons, PC | Dentist | 6755 E Superstition Springs Blvd, Suite 103, Mesa, AZ 85206-4373 | 2006-07-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174149157 | Jordan Sunderhaus | Dentist | 1244 N Greenfield Rd Ste 103, Mesa, AZ 85205-4078 | 2020-06-25 |
1821613134 | Russell D York | Dentist | 1928 E Main St, Mesa, AZ 85203-9024 | 2020-06-11 |
1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
1184268310 | Ocotillo Sleep Solutions LLC | Dentist | 2150 S Dobson Rd Ste 3, Mesa, AZ 85202-6487 | 2019-10-31 |
1457906919 | Yana V Gerhardt | Dentist | 1822 S 39th St Unit 35, Mesa, AZ 85206-3828 | 2019-08-01 |
1538725387 | Dentists of Mesa, LLP | Dentist | 4401 E Mckellips Rd Ste 102, Mesa, AZ 85215-2558 | 2019-05-17 |
1417413063 | Peter Vu | Dentist | 5350 E Hilton Ave, Mesa, AZ 85206-5514 | 2019-02-19 |
1235604166 | Implant & Reconstructive Dentistry Pllc | Dentist | 1423 S Higley Rd Ste 117, Mesa, AZ 85206-3450 | 2018-10-07 |
1316423353 | Amberwood Dental Partners | Dentist | 840 E Mckellips Rd Ste 101, Mesa, AZ 85203-9654 | 2018-07-12 |
1386153823 | Angela S Wilson | Dentist | 1245 E Southern Ave Ste 12, Mesa, AZ 85204-5138 | 2017-09-27 |
Find all providers in MESA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.