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DR. JEFFREY CLINE DERICKSON D.D.S.
NPI 1205947439
Dentist in Tucson, AZ

Active since August 31, 2006
762 N COUNTRY CLUB RD, TUCSON, AZ 85716(520) 327-5993(520) 327-0907 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Cline Derickson D.d.s. NPPES

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

DR. JEFFREY CLINE DERICKSON D.D.S. (NPI 1205947439) is an individual dentist in Tucson, Arizona, licensed in Arizona (2369) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1205947439
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY CLINE DERICKSONCredential: D.D.S.
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
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205947439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 2369
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.
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.

JEFFREY C. DERICKSON, D.D.S. PLLC
Clinic/Center (Dental)
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 Derickson's NPI number?

The NPI number for Jeffrey Derickson is 1205947439. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Jeffrey Derickson located?

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

What is Jeffrey Derickson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeffrey Derickson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.