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

Micah Dickerson

Individual provider Dentist · NPI 1013782077

Micah Dickerson is a Dentist in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia and Virginia.

Licensed in
DC, VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3925 Minnesota Ave NE
Washington, DC 20019-2662
Phone: (312) 274-4530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 0401419305 (VA)
Dentist Taxonomy 122300000X · Licence DEN2000422 (DC)

Record details

NPI number1013782077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2023
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

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