Individual
DR. CHAD JARRETT DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
816 E FRANKLIN BLVD, GASTONIA, NC 28054-4241
(704) 396-6166
Mailing address
816 E FRANKLIN BLVD, GASTONIA, NC 28054-4241
(704) 396-6166
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11153
NC
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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