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JEFFREY C. DERICKSON, D.D.S. PLLC
NPI 1154529006
Clinic/Center - Dental in Tucson, AZ

Active since July 03, 2007
762 N COUNTRY CLUB RD, TUCSON, AZ 85716(520) 327-5993(520) 327-0907 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeffrey C. Derickson, D.d.s. Pllc NPPES

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

JEFFREY C. DERICKSON, D.D.S. PLLC (NPI 1154529006) is a healthcare organization registered as a dental in Tucson, Arizona and active in the NPI registry since July 2007. The organization lists Jeffrey Cline Derickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1154529006
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJEFFREY C. DERICKSON, D.D.S. PLLC
Location Address762 N COUNTRY CLUB RDTucson, AZ 85716-4535
Mailing Address762 N Country Club RdTucson, AZ 85716-4535 · (520) 327-5993 · Fax (520) 327-0907
Phone(520) 327-5993
Fax(520) 327-0907
Organization SubpartNo
Authorized OfficialJeffrey Cline DericksonOwner · (520) 327-5993
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 26, 2012
✔ NPI 1154529006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in AZ · 2369
762 N COUNTRY CLUB RD, Tucson, AZ 85716
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Other Providers at the Same Location NPPES 3

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

DR. JEFFREY CLINE DERICKSON D.D.S.
Dentist
762 N COUNTRY CLUB RD
TUCSON, AZ 85716
Pima County (520) 327-5993
ADAM R DALESANDRO PC
Dentist
762 N COUNTRY CLUB RD
TUCSON, AZ 85716
Pima County (520) 748-8004
DR. ADAM RABIN DALESANDRO D.M.D.
Dentist
762 N COUNTRY CLUB RD
TUCSON, AZ 85716
Pima County (520) 327-5993

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 Jeffrey C. Derickson, D.D.S. PLLC's NPI number?

The NPI number for Jeffrey C. Derickson, D.D.S. PLLC is 1154529006. It was assigned to this organization in the NPPES registry on July 3, 2007.

Where is Jeffrey C. Derickson, D.D.S. PLLC located?

Jeffrey C. Derickson, D.D.S. PLLC is located at 762 N Country Club Rd, Tucson, AZ 85716. The listed phone number is (520) 327-5993.

What is Jeffrey C. Derickson, D.D.S. PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jeffrey C. Derickson, D.D.S. PLLC was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.