Jeffrey Cline Derickson in Tucson - Dentist

Jeffrey Cline Derickson - NPI 1205947439

Jeffrey Cline Derickson is a Dentist in Tucson, Arizona. Jeffrey Cline Derickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrey Cline Derickson is 1205947439. The last update date is 2007-07-08.

Jeffrey Cline Derickson's current location address is 762 N Country Club Rd, Tucson, Arizona. You can contact this provider via phone number 5203275993 and fax number 5203270907. The mailing address for Jeffrey Cline Derickson is 762 N Country Club Rd, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Cline Derickson
Address 762 N Country Club Rd, Tucson, Arizona
Phone Number 5203275993
Fax Number 5203270907
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1205947439
Provider Enumeration Date 2006-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 762 N Country Club Rd
City Tucson
State Arizona (AZ)
Post Code 857164535
Phone Number 5203275993
Fax Number 5203270907

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 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: denti

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FAQs about Jeffrey Cline Derickson

What is the Jeffrey Cline Derickson's 1205947439?

The Jeffrey Cline Derickson's NPI (National Provider Identifier) Number is 1205947439. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Jeffrey Cline Derickson is located?

The Jeffrey Cline Derickson is situated at the following address: 762 N Country Club Rd, Tucson, AZ, 857164535.

What is Jeffrey Cline Derickson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrey Cline Derickson is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

When did Jeffrey Cline Derickson receive its 1205947439 assignment?

The Jeffrey Cline Derickson was assigned its 1205947439 on 2006-08-31, which is the date when this unique identifier was issued to the organization.

When was the information regarding Jeffrey Cline Derickson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrey Cline Derickson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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