Jeffrey C. Derickson, D.D.S. Pllc
LBN: Jeffrey C. Derickson, D.D.S. Pllc
Jeffrey C. Derickson, D.D.S. Pllc is an health care organization with primary practice located at 762 N Country Club Rd , Tucson AZ 85716-4535. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty.
Jeffrey C. Derickson, D.D.S. Pllc can be contacted via phone (520) 327-5993, or through Derickson, Jeffrey Cline via phone (520) 327-5993.
Contact Information
Primary practice address
762 N Country Club Rd
Tucson AZ 85716-4535
Phone: (520) 327-5993
Fax: (520) 327-0907
Website:
Authorized official contact:
Name: Derickson, Jeffrey Cline Doctor of Dental Surgery (DDS)
Phone: (520) 327-5993
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | 2369 | Arizona |
Profile Details
NPI number | 1154529006 |
---|---|
LBN Legal business name | Jeffrey C. Derickson, D.D.S. Pllc |
DBA Doing business as | |
Authorized official | Derickson, Jeffrey Cline Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jul 3rd, 2007 |
Last updated | Jul 26th, 2012 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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