Pamela Jane Dickieson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901015513 Issued in MI

Practice address

22615 Michigan Ave
West Village Dental Care
Dearborn, MI 48124-2115

Phone

(313) 563-4466

Fax

(313) 563-1266

NPI assigned

Nov 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992871461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S LAFAYETTE ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242115",
            "telephone_number": "313-562-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22615 MICHIGAN AVE",
            "address_2": "WEST VILLAGE DENTAL CARE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242115",
            "telephone_number": "313-563-4466",
            "fax_number": "313-563-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKIESON",
        "first_name": "PAMELA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901015513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balayla Diaab
• Aisha Diallo
• Janya Simone Dials
• Diane L Sacchetti MD PC
• Shari Diaz, BSW
• William Dickieson, D.P.M.
• Rebekka Jean Dicks, MS-SLP
• Tamyra Miranda Dickson
• Kayla Diebold, DPT
• Abigail Elizabeth Diefenbach, AGACNP-BC

• General Practice Dentistry in Dearborn, MI
• Providers in Dearborn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.