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Search › Arizona › General Practice Dentistry

Michael Dickerson, D.M.D

NPI 1619225307 · on the registry since 2012

Practice

Address
2233 W Baseline Rd
Suite 104
Tempe, AZ 85283
Phone
(602) 438-9245
Fax
(602) 438-8695
Organisation at this address
South Mountain Dental Llc
Gregory L. Ten Eyck Dds Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2017-02-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona