Individual
DR. MICHAEL SHUMWAY DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1039
(602) 438-9245
(602) 438-8695
Mailing address
2233 W BASELINE RD, SUITE 104, TEMPE, AZ 85283-1039
(602) 438-9245
(602) 438-8695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008558
AZ
Other
Enumeration date
08/28/2012
Last updated
02/22/2017
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