DR. Michael Shumway Dickerson, D.M.D.

NPI #1619225307 in Tempe, Arizona

Provider Information

NPI Number
1619225307
Entity Type
Individual
Name
DR. Michael Shumway Dickerson, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Aug 28, 2012
Last Updated
Feb 22, 2017

Practice Location

Address
2233 W BASELINE RD
Address 2
SUITE 104
City
Tempe
State
Arizona
ZIP Code
85283-1039
Phone
(602) 438-9245

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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