Jerry W. Dickson is a Dentist in Chandler, Oklahoma. Jerry W. Dickson practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerry W. Dickson is 1679569537. The last update date is 2007-07-08.
Jerry W. Dickson's current location address is Po Box 489, Chandler, Oklahoma. You can contact this provider via phone number 4052581042 and fax number 4052585009. The mailing address for Jerry W. Dickson is Po Box 489, Chandler, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry W. Dickson |
|---|---|
| Address | Po Box 489, Chandler, Oklahoma |
| Phone Number | 4052581042 |
| Fax Number | 4052585009 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1679569537 |
|---|---|
| Provider Enumeration Date | 2005-09-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 489 |
|---|---|
| City | Chandler |
| State | Oklahoma (OK) |
| Post Code | 748340489 |
| Phone Number | 4052581042 |
| Fax Number | 4052585009 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4968 |
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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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What is the Jerry W. Dickson's 1679569537?
The Jerry W. Dickson's NPI (National Provider Identifier) Number is 1679569537. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry W. Dickson located?
The Jerry W. Dickson is located at Po Box 489, Chandler, OK 748340489.
What is Jerry W. Dickson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry W. Dickson is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
When did the Jerry W. Dickson receive its 1679569537?
The Jerry W. Dickson was issued its 1679569537 on 2005-09-26, which is the date when the organization was assigned this unique identifier.
When was the Jerry W. Dickson's information last updated?
The Jerry W. Dickson's information was last updated on 2007-07-08.