Dickerson Enterprises, Incorporated
Dickerson Enterprises, Incorporated is a healthcare organization registered as Dentist in Mesa, AZ, holding Type 2 (organization) NPI 1558493460 since 2007. The authorized official on file is Derrick Dickerson, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1558493460 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dickerson Enterprises, Incorporated |
| Practice address | 6755 E SUPERSTITION SPRINGS BLVD, SUITE 203, Mesa, AZ, 85206 |
| Phone | 4802186030 |
| Fax | 4802186057 |
| Enumeration date | 2007-03-09 |
| Last updated in NPPES | 2008-03-17 |
Authorized official
| Name | Derrick Dickerson |
|---|---|
| Title | President |
| Phone | 4802186030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | D4940 | AZ |
Copy-ready billing details
Provider: Dickerson Enterprises, Incorporated NPI: 1558493460 Taxonomy: 122300000X (Dentist) Address: 6755 E SUPERSTITION SPRINGS BLVD, SUITE 203, Mesa, AZ, 85206
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891795282 | Paul Haycock | Individual | Periodontics | Mesa, AZ |
| 1023095734 | Bradley Porter | Individual | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1609853365 | Brent Boyse | Individual | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1891772505 | Robert Austin | Individual | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1932132651 | Arizona Maxillofacial Surgeons, PC | Organization | Oral and Maxillofacial Surgery (Dentist) | Mesa, AZ |
| 1366531402 | Derrick Dickerson | Individual | General Practice Dentistry | Mesa, AZ |
| 1144342155 | Mark S. Hamblin, D.D.S., P.C. | Organization | Dentist | Mesa, AZ |
| 1558584045 | Mark Hamblin | Individual | General Practice Dentistry | Mesa, AZ |
Verify this record
Cross-check NPI 1558493460 against the authoritative CMS record: view Dickerson Enterprises, Incorporated on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Dickerson Enterprises, Incorporated?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-03-17.