DR. MICHAEL SHUMWAY DICKERSON (NPI# 1619225307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619225307 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SHUMWAY DICKERSON |
| Credential | D.M.D. |
| Practice Address |
2233 W Baseline Rd Suite 104 Tempe AZ 85283-1039 |
| Practice Telephone | 6024389245 |
| Practice Fax Number | 6024388695 |
| Mailing Telephone | 6024389245 |
| Mailing Fax Number | 6024388695 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D008558 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154469062 | Michael Dickerson | Dentist | 26 W Center St, Germantown, OH 45327-1342 | 2007-02-02 |
| 1558907626 | Michael J Dickerson | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-11-22 |
| 1346576097 | Michael Dickerson | Counselor | 4368 Lincoln Ave, Oakland, CA 94602-2529 | 2009-10-29 |
| 1174782288 | Michael Dickerson | Psychiatry & Neurology | 2221 Enborg Ln, 2221 Enborg Lane, San Jose, CA 95128-2608 | 2008-06-03 |
| 1871707323 | Michael Dickerson | Counselor | 720 N Dewey Ave, Oklahoma City, OK 73102-1214 | 2007-05-10 |
| 1073512059 | Michael M Dickerson | Emergency Medicine | 800 Garfield Ave, Healing Center At Ccmh, Parkersburg, WV 26101-5340 | 2005-07-20 |
| Street Address |
2233 W BASELINE RD SUITE 104 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-1039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622953 | Gregory Louis Teneyck | Dentist | 2233 W Baseline Rd, Suite 104, Tempe, AZ 85283-1495 | 2005-07-14 |
| 1023221405 | Gregory L. Ten Eyck Dds PC | Dentist | 2233 W Baseline Rd, Suite 104, Tempe, AZ 85283-1495 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275187726 | Satbir Khara | Dentist | 2010 E. Elliot Rd. Suite 105, Tempe, AZ 85284 | 2019-08-01 |
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1487110672 | Greding Family Dental Pllc | Dentist | 3244 S Mill Ave Ste 105, Tempe, AZ 85282-3688 | 2019-02-13 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1548740483 | Jeffrey Arthur Mathews | Dentist | 7517 S Mcclintock Dr Ste 106, Tempe, AZ 85283-5011 | 2018-08-20 |
| 1699254680 | Melina Ghods | Dentist | 419 West Calle De Caballos, Tempe, AZ 85284-8528 | 2018-08-09 |
| 1962980961 | Calvin Wah Ngo | Dentist | 555 N. College Avenue, Apr 4018, Tempe, AZ 85281 | 2018-08-01 |
| 1518326636 | John G Fletcher Dmd Pllc | Dentist | 2600 E Southern Ave Ste B1, Tempe, AZ 85282-7745 | 2016-02-17 |
| 1336542786 | Tempe Family Dental Pllc | Dentist | 6200 S Mcclintock Dr Ste 115, Tempe, AZ 85283-3449 | 2014-09-30 |
| 1396154746 | Yehia Imam | Dentist | 2034 E Southern Ave Ste A, Tempe, AZ 85282-7522 | 2014-08-11 |
| Find all providers in TEMPE | ||||
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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.