Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey C. Derickson, DDS PLLC

Organization Dental Clinic/Center · NPI 1154529006

Jeffrey C. Derickson, DDS PLLC is a Dental Clinic/Center in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

762 N Country Club Rd
Tucson, AZ 85716-4535
Phone: (520) 327-5993
Fax: (520) 327-0907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 2369 (AZ)

Record details

NPI number1154529006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Derickson — Owner · (520) 327-5993
NPI enumeratedJuly 3, 2007
Last updated in NPPESJuly 26, 2012
Mailing address762 N Country Club Rd, Tucson, AZ 85716-4535

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