DR. WILSON ROBERT DICKERSON JR. (NPI# 1114134822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114134822 |
| Entity Type | Individual |
| Full Name | DR. WILSON ROBERT DICKERSON JR. |
| Credential | DDS |
| Practice Address |
2600 E Preston Street Baltimore MD 21213 |
| Practice Telephone | 4103274192 |
| Practice Fax Number | 4103274193 |
| Mailing Telephone | 4103274192 |
| Mailing Fax Number | 4103274193 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3593 | MD | Dental Providers |
| Street Address |
2600 E PRESTON STREET |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
| 1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
| 1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
| 1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
| 1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
| 1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
| 1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
| Find all providers in zip 21213 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999736 | Kyung Min Shin | Dentist | 11 S Eutaw St Apt 1609, Baltimore, MD 21201-1638 | 2020-07-16 |
| 1649897935 | Cory Kyser | Dentist | 1900 E Northern Pkwy Ste 103, Baltimore, MD 21239-2109 | 2020-07-02 |
| 1841814845 | Michael Listhaus | Dentist | 650 W Baltimore St Rm 2204, Baltimore, MD 21201-1510 | 2020-06-04 |
| 1598325904 | Chelsea Merritt | Dentist | 2 N Charles St Ste 130, Baltimore, MD 21201-3715 | 2019-06-18 |
| 1699235036 | Alyssa M Dierkes | Dentist | 10 Light St Unit 1002, Baltimore, MD 21202-1476 | 2019-03-21 |
| 1841777323 | Nikta Pashai | Dentist | 4660 Wilkens Ave Ste 301, Baltimore, MD 21229-4845 | 2018-07-26 |
| 1003306671 | Bk Faithful Enterprises Consulting, LLC | Dentist | 3120 Lord Baltimore Dr Ste 100, Baltimore, MD 21244 | 2018-05-18 |
| 1851814065 | Frederico Canato Martinho | Dentist | 650 W Baltimore St Rm 6258, Baltimore, MD 21201-1510 | 2017-07-19 |
| 1578085593 | Rabia Eltaf | Dentist | 1010 S Northpoint Rd, Baltimore, MD 21224-3307 | 2017-07-11 |
| 1699297838 | Smile Dental, LLC | Dentist | 535 Dundalk Ave Ste 2, Baltimore, MD 21224-2903 | 2017-07-10 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.