Dr. Dudley E Dickerson , DMD
Dentist • Macon, MS
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dudley Dickerson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dudley Dickerson, DMD was a registered Dentist practicing in Macon, MS. Throughout an active medical career spanning 12 years, Dr. Dickerson provided care at the practice location at 307 SOUTH JEFFERSON ST until profile deactivation on 2018-08-28.
Practice Location & Contact Primary Location
307 South Jefferson St
Macon, MS 39341
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Macon, MS
Practicing in Macon, MS (563 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on August 28, 2018
NPI status registered as active in NPPES database
Registered at 307 SOUTH JEFFERSON ST, MACON, MS 39341 (Tel: 6627265385)
Registered at PO BOX 228, MACON, MS 39341 (Tel: 6627265385)
Recorded as DUDLEY DICKERSON, DMD
Dentist (License #70154 in MS)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 228
Macon, MS 39341
Phone: 6627265385
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