DERRICK J DICKERSON DMD
NPI 1366531402
Dentist - General Practice in Mesa, AZ

Active since October 12, 2006
6755 E SUPERSTITION SPRINGS BLVD, 203, MESA, AZ 85206(480) 218-6030(480) 218-6057 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick J Dickerson Dmd NPPES

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

DERRICK J DICKERSON DMD (NPI 1366531402) is an individual general practice provider in Mesa, Arizona, licensed in Arizona (4940) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366531402
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDERRICK J DICKERSONCredential: DMD
Location Address6755 E SUPERSTITION SPRINGS BLVD, 203Mesa, AZ 85206
Mailing Address6755 E Superstition Springs Blvd, 203Mesa, AZ 85206 · (480) 218-6030 · Fax (480) 218-6057
Fax(480) 218-6057
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1366531402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AZ · 4940
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6755 E SUPERSTITION SPRINGS BLVD, Mesa, AZ 85206

Accepted Insurance

Other Providers at the Same Location NPPES 13

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

Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Dentist (Periodontics)
6755 E SUPERSTITION SPRINGS BLVD, STE. 102
MESA, AZ 85206
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Dentist (Orthodontics and Dentofacial Orthopedics)
6755 E SUPERSTITION SPRINGS BLVD, STE 201
MESA, AZ 85206
Dentist
6755 E SUPERSTITION SPRINGS BLVD, SUITE 203
MESA, AZ 85206
Dentist (General Practice)
6755 E SUPERSTITION SPRINGS BLVD, SUITE #202
MESA, AZ 85206
Dentist (Oral and Maxillofacial Surgery)
6755 E SUPERSTITION SPRINGS BLVD, SUITE 103
MESA, AZ 85206

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 Derrick Dickerson's NPI number?

The NPI number for Derrick Dickerson is 1366531402. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Derrick Dickerson located?

Derrick Dickerson practices at 6755 E Superstition Springs Blvd 203, Mesa, AZ 85206. The listed phone number is (480) 218-6030.

What is Derrick Dickerson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Derrick Dickerson accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Arizona and 5 other insurers list Derrick Dickerson 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 Derrick Dickerson was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.