OrganizationActive
Dermatology & Aesthetic Care LLC
NPI 1962795302 · Dermatology Physician · Centerville, OH
Provider details
- NPI number
- 1962795302
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Patricia Dickerson, Owner(937) 436-1117
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1299 E Alex Bell Rd
Centerville, OH 45459-2658
Phone: (937) 436-1117
Fax: (937) 436-9576
Approximate (ZIP-level) locationGet directions
Mailing address
1299 E Alex Bell Rd
Centerville, OH 45459-2658
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2014-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.