OrganizationActive
Dickerson Enterprises, Incorporated
NPI 1558493460 · Dentist · Mesa, AZ
Dickerson Enterprises, Incorporated is a Dentist organization in Mesa, AZ (NPI 1558493460).
Provider details
- NPI number
- 1558493460
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Derrick Dickerson, President(480) 218-6030
- License
- D4940 (AZ)
Specialties & taxonomies
Dental Providers
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
19 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
6755 E Superstition Springs Blvd
Suite 203
Mesa, AZ 85206-4373
Phone: (480) 218-6030
Fax: (480) 218-6057
Street-level locationGet directions
Mailing address
6755 E Superstition Springs Blvd
Mesa, AZ 85206-4373
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2008-03-17
Frequently asked questions
- What is Dickerson Enterprises, Incorporated's NPI number?
- Dickerson Enterprises, Incorporated's National Provider Identifier (NPI) is 1558493460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dickerson Enterprises, Incorporated?
- Dickerson Enterprises, Incorporated is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dickerson Enterprises, Incorporated located?
- Dickerson Enterprises, Incorporated's practice location on file with NPPES is 6755 E Superstition Springs Blvd, Mesa, AZ 85206-4373.
- What is Dickerson Enterprises, Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Dickerson Enterprises, Incorporated is (480) 218-6030.
- Who is the authorized official for Dickerson Enterprises, Incorporated?
- The authorized official listed on Dickerson Enterprises, Incorporated's NPPES record is Derrick Dickerson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dickerson Enterprises, Incorporated's NPI active?
- Yes — Dickerson Enterprises, Incorporated's NPI (1558493460) is active in the NPPES registry as of the last update on 2008-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.