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

Dr. Phillip Dana Vickers, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1720149529

Dr. Phillip Dana Vickers, DDS is a Maxillofacial Surgery in Rochester, Minnesota. Qualified in 1982, 44 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
44
Licensed in
MN
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2717 Superior Dr Nw, Rochester, MN 55901-1773 — (507) 281-5820

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D10753 (MN)

Record details

NPI number1720149529
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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