Jeffrey C. Derickson, D.D.S. Pllc in Tucson - Dental
Jeffrey C. Derickson, D.D.S. Pllc - NPI 1154529006
Jeffrey C. Derickson, D.D.S. Pllc is a Dental in Tucson, Arizona. Jeffrey C. Derickson, D.D.S. Pllc practices all healthcare services and medical treatments related to Dental. The NPI Number for Jeffrey C. Derickson, D.D.S. Pllc is 1154529006. The last update date is 2012-07-26.
Jeffrey C. Derickson, D.D.S. Pllc'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 C. Derickson, D.D.S. Pllc is 762 N Country Club Rd, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jeffrey C. Derickson, D.D.S. Pllc |
|---|---|
| Address | 762 N Country Club Rd, Tucson, Arizona |
| Phone Number | 5203275993 |
| Fax Number | 5203270907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Derickson Cline Jeffrey |
| Credentials | D.D.S. |
| Telephone Number | 5203275993 |
NPI Number Detail
| NPI Number | 1154529006 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2012-07-26 |
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 | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 2369 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jeffrey C. Derickson, D.D.S. Pllc?
The Jeffrey C. Derickson, D.D.S. Pllc has been issued the NPI (National Provider Identifier) 1154529006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jeffrey C. Derickson, D.D.S. Pllc is physically located?
The Jeffrey C. Derickson, D.D.S. Pllc is situated at the following address: 762 N Country Club Rd, Tucson, AZ 857164535.
What is Jeffrey C. Derickson, D.D.S. Pllc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey C. Derickson, D.D.S. Pllc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
When was the Jeffrey C. Derickson, D.D.S. Pllc's 1154529006 issued?
The Jeffrey C. Derickson, D.D.S. Pllc's 1154529006 was issued on 2007-07-03.
As of what date were the Jeffrey C. Derickson, D.D.S. Pllc's details last updated?
The information pertaining to the Jeffrey C. Derickson, D.D.S. Pllc, including its address, specialty, and other details, was most recently updated on 2012-07-26.
NPI Number: 1063415297
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