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Derrick J Dickerson, DMD

General Practice Dentistry in Mesa, AZ · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366531402

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Registry record

Entity type Individual (Type 1)
Name Derrick J Dickerson
Credential DMD
Sex Male
Practice address 6755 E Superstition Springs Blvd, 203, Mesa, AZ, 85206
Phone (480) 218-6030
Fax (480) 218-6057
Enumeration date Oct 12, 2006
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

1223G0001X General Practice Dentistry Dental Providers · License 4940 (AZ) Primary
DMD · Doctor of Medicine in Dentistry: A licensed dentist; DMD and DDS are equivalent dental degrees. About the DMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Derrick Dickerson?
The National Provider Identifier (NPI) for Derrick Dickerson is 1366531402, a Type 1 (individual) record in the CMS NPPES registry.
Where does Derrick Dickerson practice?
The practice location on file with NPPES is in Mesa, AZ. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.