Dr Sharon M Dickerson DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

15027 Issued in MI

Legal business name

DR SHARON M DICKERSON DDS PC

Practice address

485 E Columbia Ave
Suite 12
Battle Creek, MI 49014-5499

Phone

(269) 962-5774

Fax

(269) 962-5353

NPI assigned

Sep 10, 2008

Last updated

Sep 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sharon Marie Dickerson, D.D.S.

Title

President

Phone

(269) 962-5774

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1760631162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 E COLUMBIA AVE",
            "address_2": "SUITE 12",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145499",
            "telephone_number": "269-962-5774",
            "fax_number": "269-962-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 E COLUMBIA AVE",
            "address_2": "SUITE 12",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145499",
            "telephone_number": "269-962-5774",
            "fax_number": "269-962-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SHARON M DICKERSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-962-5774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katie Drenth, LMSW
• Amanda Jo Dressler, LMSW

• Dentist in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.