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

Derrick J Dickerson, DMD

Individual provider General Practice Dentistry · NPI 1366531402

Derrick J Dickerson, DMD is a General Practice Dentistry in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

6755 E Superstition Springs Blvd 203
Mesa, AZ 85206
Phone: (480) 218-6030
Fax: (480) 218-6057
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4940 (AZ)

Record details

NPI number1366531402
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address6755 E Superstition Springs Blvd, 203, Mesa, AZ 85206

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