Peggy Lee Dickson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5375 Issued in OK

Practice address

300 Tuskegee Blvd
Dover AFB, DE 19902-5003

Phone

(918) 607-9166

NPI assigned

Apr 14, 2006

Last updated

May 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1285698415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436TH MEDICAL GROUP",
            "city": "DOVER AFB",
            "state": "DE",
            "postal_code": "199025300",
            "telephone_number": "918-607-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TUSKEGEE BLVD",
            "city": "DOVER AFB",
            "state": "DE",
            "postal_code": "199025003",
            "telephone_number": "918-607-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "PEGGY",
        "middle_name": "LEE",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-14",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5375",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidre Monique Cooperwood, PA-C
• Geoffrey Wallace Crawley, M.D.
• Nyemade Cummings-Swen, PSY.D
• Lindsey Dean, DMD
• Tara Lynn Dick, LCSW
• Kaylena Dornes
• Kathleen Drum, DNP, WHNP-BC
• Bernadette Ann Fackovec, MSW
• Nicole Fahs
• Jennifer Fleming

• General Practice Dentistry in Dover AFB, DE
• Providers in Dover AFB, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.