John W Dickinson in Desoto - Dentist

John W Dickinson - NPI 1235109877

John W Dickinson is a Dentist in Desoto, Missouri. John W Dickinson practices all healthcare services and medical treatments related to Dentist. The NPI Number for John W Dickinson is 1235109877. The last update date is 2007-07-08.

John W Dickinson's current location address is 704 N Main Street, Desoto, Missouri. You can contact this provider via phone number 6365863388 and fax number 6365864065. The mailing address for John W Dickinson is 704 N Main Street, Desoto, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John W Dickinson
Address 704 N Main Street, Desoto, Missouri
Phone Number 6365863388
Fax Number 6365864065
Sole Proprietor X
Credentials DDS

NPI Number Detail

NPI Number 1235109877
Provider Enumeration Date 2006-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 704 N Main Street
City Desoto
State Missouri (MO)
Post Code 63020
Phone Number 6365863388
Fax Number 6365864065

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12468
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 John W Dickinson

What is the unique provider identifier assigned to John W Dickinson?

The John W Dickinson has been issued the NPI (National Provider Identifier) 1235109877 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where John W Dickinson is physically located?

The John W Dickinson is physically situated at the following address: 704 N Main Street, Desoto, MO, 63020.

What is John W Dickinson's specialized field of practice, and what is the corresponding taxonomy classification code?

The John W Dickinson's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1235109877 to John W Dickinson?

The Centers for Medicare & Medicaid Services assigned the 1235109877 to John W Dickinson on 2006-01-25.

When was the information related to John W Dickinson most recently updated or refreshed?

The details pertaining to the John W Dickinson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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