Christopher Bradley Dickerson in Covington - Oral And Maxillofacial Surgery
Christopher Bradley Dickerson - NPI 1629242896
Christopher Bradley Dickerson is a Oral And Maxillofacial Surgery in Covington, Louisiana. Christopher Bradley Dickerson practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Christopher Bradley Dickerson is 1629242896. The last update date is 2020-06-15.
Christopher Bradley Dickerson's current location address is 363 Lakeview Ct, Covington, Louisiana. You can contact this provider via phone number 9856412030 and fax number 9859002189. The mailing address for Christopher Bradley Dickerson is 363 Lakeview Ct, Covington, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher Bradley Dickerson |
|---|---|
| Address | 363 Lakeview Ct, Covington, Louisiana |
| Phone Number | 9856412030 |
| Fax Number | 9859002189 |
| Sole Proprietor | N |
| Credentials | DDS, MD |
NPI Number Detail
| NPI Number | 1629242896 |
|---|---|
| Provider Enumeration Date | 2008-04-17 |
| Last Updated Date | 2020-06-15 |
Provider Mailing Address Detail
| Address | 363 Lakeview Ct |
|---|---|
| City | Covington |
| State | Louisiana (LA) |
| Post Code | 704337515 |
| Phone Number | 9856412030 |
| Fax Number | 9859002189 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 5714 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29783 | LA | -- |
Post Comment/ Review Below
What is the Christopher Bradley Dickerson's 1629242896?
The Christopher Bradley Dickerson's NPI (National Provider Identifier) Number is 1629242896. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Christopher Bradley Dickerson's physical address?
The Christopher Bradley Dickerson is physically located at 363 Lakeview Ct, in the city of Covington, LA, with the postal code 704337515.
What is Christopher Bradley Dickerson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Christopher Bradley Dickerson is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Christopher Bradley Dickerson receive the assignment of its 1629242896 from the Centers for Medicare & Medicaid Services?
The Christopher Bradley Dickerson was issued its 1629242896 by the Centers for Medicare & Medicaid Services on 2008-04-17.
As of what date were the details pertaining to Christopher Bradley Dickerson last refreshed?
The information related to the Christopher Bradley Dickerson, including its address, specialty, and other relevant details, was last updated on 2020-06-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN