| Dickerson Orthodontics | |
|
1200 W Warner Rd Suite 1 Chandler AZ 85224-2758 | |
| (480) 963-2535 | |
| Not Available |
| Full Name | Dickerson Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1200 W Warner Rd, Chandler, Arizona |
| Authorized Official Name and Position | Todd Evan Dickerson (OWNER) |
| Authorized Official Contact | 4809632535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickerson Orthodontics 1200 W Warner Rd Suite 1 Chandler AZ 85224-2758 Ph: (480) 963-2535 | Dickerson Orthodontics 1200 W Warner Rd Suite 1 Chandler AZ 85224-2758 Ph: (480) 963-2535 |
| NPI Number | 1184093767 |
|---|---|
| Provider Enumeration Date | 09/24/2015 |
| Last Update Date | 09/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184093767 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D4423 (Arizona) | Primary |
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