MR. DAVID GARY DICKERHOFF DDS
NPI 1053405019
Dentist in Spring Lake, NC

Q: What is David Dickerhoff's NPI number?

The NPI number for David Dickerhoff is 1053405019. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is David Dickerhoff's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for David Dickerhoff was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 03, 2006PECOS Enrolled

103 SUPERIOR DRIVE, SPRING LAKE, NC 28390(910) 497-3200(910) 497-2209 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. David Gary Dickerhoff Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DAVID GARY DICKERHOFF DDS (NPI 1053405019) is an individual dentist in Spring Lake, North Carolina, licensed in North Carolina (6333) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053405019

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. DAVID GARY DICKERHOFFCredential: DDS

Location Address103 SUPERIOR DRIVESpring Lake, NC 28390

Mailing Address875 Seagull DriveVass, NC 28394 · (910) 245-1414

Phone(910) 497-3200

Fax(910) 497-2209

Sole ProprietorNo

Enumeration DateOctober 3, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1053405019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 6333

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.

103 SUPERIOR DRIVE, Spring Lake, NC 28390

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Other Identifiers 1

Other854019United Concordia

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Gary Dickerhoff Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28390 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR DAVID G DICKERHOFF DDS & ASSOCIATES PA

Clinic/Center (Dental)

103 SUPERIOR DRIVE
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

MRS. CHERI DENISE LINDSTROM RDH

Dental Hygienist

103 SUPERIOR DRIVE
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

DR. JACQUELINE SERENE LAPIN D.M.D.

Dentist

103 SUPERIOR DRIVE, SPRING LAKE DENTAL,
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

MRS. BONNIE LOTT CORBIN RDH

Dental Hygienist

103 SUPERIOR DRIVE
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

MRS. TRACEY PERRY JOHNSON RDH

Dental Hygienist

103 SUPERIOR DRIVE
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

MR. HAMID ROUHANI

Dentist

103 SUPERIOR DRIVE
SPRING LAKE, NC 28390

Cumberland County (910) 497-3200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Dickerhoff's NPI number?

The NPI number for David Dickerhoff is 1053405019. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is David Dickerhoff located?

David Dickerhoff practices at 103 Superior Drive, Spring Lake, NC 28390. The listed phone number is (910) 497-3200.

What is David Dickerhoff's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is David Dickerhoff enrolled in Medicare?

Yes. David Dickerhoff is registered in the Medicare PECOS enrollment system.

What insurance does David Dickerhoff accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of North Carolina and Florida Combined Life list David Dickerhoff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Dickerhoff was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.