Corey Dickson
Corey Dickson is an Oral and Maxillofacial Surgery (Dentist) in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.
- Licensed in
- PA
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
3401 N Broad StPhiladelphia, PA 19140-5189
Phone: (800) 836-7536
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 630 W 168th St, New York, NY 10032-3725 — (212) 305-2500
Specialties & licences
| Oral and Maxillofacial Surgery (Dentist) (primary) | Taxonomy 1223S0112X · Licence DS044551 (PA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1740938992 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 16, 2022 |
| Last updated in NPPES | May 15, 2024 |
| Certification date | May 15, 2024 |
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