Dickson, Corey

Dickson, Corey is an sole proprietor health care provider with primary practice located at 3401 N Broad St , Philadelphia PA 19140-5189. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Dickson, Corey can be contacted via phone (800) 836-7536.

Contact Information

Primary practice address
3401 N Broad St Philadelphia PA 19140-5189
Phone: (800) 836-7536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS044551 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1740938992
LBN Legal business name Dickson, Corey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2022
Last updated May 15th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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