Doctor profile · Federal record
Dr. Derrick Dickerson, DMD
General Practice Dentistry · Mesa, AZ
- NPI 1366531402
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
6755 E Superstition Springs Blvd, 203
Mesa, AZ 85206
(480) 218-6030
fax (480) 218-6057
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Arizona #4940
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366531402. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$592
Transactions
12
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Ultradent Products INC | 3 | $397.96 | |
| Zimvie INC. | 9 | $193.76 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
23
Total drug cost
$81
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 31 | 23 | $81 |
Frequently asked questions
What is Dr. Derrick Dickerson's medical specialty?
Dr. Derrick Dickerson practices General Practice Dentistry in Mesa, AZ.
Where does Dr. Derrick Dickerson practice?
Dr. Derrick Dickerson practices at 6755 E Superstition Springs Blvd, Mesa, AZ 85206. Office phone: 4802186030.
What is Dr. Derrick Dickerson's NPI?
Dr. Derrick Dickerson's National Provider Identifier (NPI) is 1366531402, issued by NPPES.