DICKERSON ENTERPRISES, INCORPORATED


Address: 6755 E Superstition Springs Blvd, Suite 203, Mesa, AZ 85206-4373
Phone: 4802186030

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D4940 AZ Dental Providers

Office Location

Street Address 6755 E SUPERSTITION SPRINGS BLVD
SUITE 203
City MESA
State AZ
Zip Code 85206-4373

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City MESA
Zip Code 85206

Improve Information

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Dataset Information

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.

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