DR. JERRY W. DICKSON (NPI# 1679569537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679569537 |
| Entity Type | Individual |
| Full Name | DR. JERRY W. DICKSON |
| Credential | D.D.S. |
| Practice Address |
820 Allison Ave Chandler OK 74834-3834 |
| Mailing Address |
Po Box 489 Chandler OK 74834-0489 |
| Practice Telephone | 4052581042 |
| Practice Fax Number | 4052585009 |
| Mailing Telephone | 4052581042 |
| Mailing Fax Number | 4052585009 |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 4968 | OK | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285757112 | Jerry Ervin Dickson | Specialist | 8945 Long Point Rd, Suite 101, Houston, TX 77055-3034 | 2007-04-07 |
| Street Address |
820 ALLISON AVE |
| City | CHANDLER |
| State | OK |
| Zip Code | 74834-3834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538321716 | Jerry W. Dickson D.d.s., Inc. | Dentist | 820 Allison Ave, Chandler, OK 74834-3834 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831757954 | Icare Center Chandler LLC | Family Medicine | 200 Praire Lane, Chandler, OK 74834 | 2019-06-04 |
| 1699283143 | Bristow Endeavor Healthcare, LLC | Internal Medicine | 1116 Monvel Ave., Chandler, OK 74834 | 2018-01-18 |
| 1174995336 | Family Medicine & Urgent Care of Chandler, LLC | Nurse Practitioner | 405 N. Industrial Rd., Chandler, OK 74834 | 2015-10-28 |
| 1437481181 | Laurena Kleckner | Counselor | 112 North Kckinley Avenue, Chandler, OK 74834 | 2010-02-05 |
| 1578750196 | Kaw PC | Dentist | 1516 S Iowa, Chandler, OK 74834 | 2007-09-27 |
| 1457568719 | Oklahoma Mental Health Council | Community/Behavioral Health | 1605 E 1st St., Chandler, OK 74834 | 2007-05-17 |
| 1003038183 | Holly Melissa Shelton | Counselor | 112 N Mckinley, Chandler, OK 74834 | 2007-05-02 |
| 1235359548 | Oklahoma Mental Health Council | Community/Behavioral Health | 112 Mickley N, Chandler, OK 74834 | 2007-04-27 |
| 1215010913 | Daniel Joseph Wilguess | Dentist | 1516 South Iowa, Chandler, OK 74834 | 2006-10-24 |
| 1740394253 | Ashley Farmer | Counselor | 112 N. Mckinley, Chandler, OK 74834 | 2006-08-19 |
| Find all providers in zip 74834 | ||||
| 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 |
|---|---|---|---|---|
| 1376152991 | Brian Joseph Kennedy | Dentist | 1900 W Chandler Blvd Ste 22, Chandler, AZ 85224-6175 | 2020-07-29 |
| 1841817962 | Brandt Hansen | Dentist | 1120 S Dobson Rd Ste 105, Chandler, AZ 85286-6166 | 2020-07-06 |
| 1932722675 | Omar Karaboulad | Dentist | 1982 S Los Altos Dr, Chandler, AZ 85286-6706 | 2020-05-27 |
| 1841825171 | Veena Kanti | Dentist | 1055 S Arizona Ave Ste 8, Chandler, AZ 85286-6511 | 2020-03-06 |
| 1568018802 | S.l. Walker Dds Inc. | Dentist | 3070 S Dobson Rd, Chandler, AZ 85248-4906 | 2019-08-13 |
| 1073172037 | Brennan Allen | Dentist | 610 N Alma School Rd Ste 4, Chandler, AZ 85224 | 2019-06-12 |
| 1871021824 | Kevin Brunstein | Dentist | 1241 W Chicago St, Chandler, AZ 85224-5230 | 2017-06-02 |
| 1891232120 | Spencer D Weed Dds Pllc | Dentist | 11631 E Navajo Dr, Chandler, AZ 85249 | 2017-01-25 |
| 1972969194 | John Patterson Dmd Plc | Dentist | 3245 W Ray Rd, #6, Chandler, AZ 85226-2438 | 2016-01-04 |
| 1952786519 | Chandler Dental Arts LLC | Dentist | 501 W Ray Rd Ste 10, Chandler, AZ 85225-7284 | 2015-07-24 |
| Find all providers in CHANDLER | ||||
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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.