Michael C Dickerson Dmd Holdings Pllc

NPI #1518507227 in Brandon, Florida

Provider Information

NPI Number: 1518507227
Entity Type: Organization
Organization Name: Michael C Dickerson Dmd Holdings Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2020
Last Updated: Jun 13, 2023

Practice Location

Address: 10955 CAUSEWAY BLVD
City: Brandon
State: Florida
ZIP Code: 33511-1997
Phone: (813) 502-0346

Authorized Official

Name: MICHAEL DICKERSON
Title: OWNER
Phone: (813) 502-0346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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