Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619225307 Individual Practitioner Male Practitioner

Dr. Michael Shumway Dickerson , DMD

Dentist - General Practice • Tempe, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Michael Dickerson, DMD is a registered healthcare professional specializing in Dentist - General Practice in Tempe, AZ. Practice services are available at 2233 W BASELINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2233 W Baseline Rd
Suite 104

Tempe, AZ 852831039

Telephone 6024389245
Fax 6024388695
Associated Practice Facility / Clinic
🏢 Gregory L. Ten Eyck Dds Pc Facility NPI 1023221405

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tempe, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
82 Specialists

Practicing in Tempe, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D008558

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1093602385

Doctor of Dental Medicine

Dr. Gregory Teneyck , DDS

Dentist - General Practice

NPI 1184622953

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active February 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2017

Registered at 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 852831039 (Tel: 6024389245)

📍
Updated Business Mailing Address February 22, 2017

Registered at 2233 W BASELINE RD, SUITE 104, TEMPE, AZ 852831039 (Tel: 6024389245)

👤
Provider Name / Credentials Updated February 22, 2017

Recorded as MICHAEL DICKERSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2017

Dentist (License #D008558 in AZ)

NPI Profile Active February 04, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2013

Registered at 1450 E SOUTH ST, SUITE 3, GLOBE, AZ 855011868 (Tel: 9284258175)

📍
Updated Business Mailing Address February 04, 2013

Registered at 1450 E SOUTH ST, SUITE 3, GLOBE, AZ 855011868

👤
Provider Name / Credentials Updated February 04, 2013

Recorded as MICHAEL DICKERSON, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2013

Dentist (License #D008558 in AZ)

🟢
Initial NPI Registration & Enumeration August 28, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619225307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2012
Last Update: February 22, 2017
Sole Proprietor: No

Mailing Address

2233 W Baseline Rd, Suite 104

Tempe, AZ 852831039

Phone: 6024389245

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.