IndividualActive
Nathan Dickerson, D.D.S.
NPI 1497974844 · Oral and Maxillofacial Surgery (Dentist) · Las Cruces, NM
Provider details
- NPI number
- 1497974844
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DD1601 (NM)
Practice location
2918 Hillrise Dr
Las Cruces, NM 88011-4702
Phone: (505) 522-0821
Fax: (505) 521-3556
Mailing address
2918 Hillrise Dr
Las Cruces, NM 88011-4702
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.