OrganizationActive
Jeffrey C. Derickson, D.D.S. PLLC
NPI 1154529006 · Dental Clinic/Center · Tucson, AZ
Provider details
- NPI number
- 1154529006
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffrey Derickson, Owner(520) 327-5993
- License
- 2369 (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
762 N Country Club Rd
Tucson, AZ 85716-4535
Phone: (520) 327-5993
Fax: (520) 327-0907
Street-level locationGet directions
Mailing address
762 N Country Club Rd
Tucson, AZ 85716-4535
Registry dates
- Enumerated
- 2007-07-03
- Last updated
- 2012-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.