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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFREY C. DERICKSON, D.D.S. PLLC

Active Organization

Dental Clinic · TUCSON, AZ

Registration Details

NPI Number
1154529006
Provider Type
Organization
NPI Issued
Jul 3, 2007 (18.819879493297 yrs)
Last Updated
Jul 26, 2012
License
2369 (AZ)

Practice Information

Address
762 N COUNTRY CLUB RD
TUCSON, AZ, 857164535
Browse AZ providers · Browse ZIP 85716
Phone
5203275993
Fax
5203270907
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in TUCSON, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.