Individual provider · Type 1 NPI

Micah Dickerson, DDS

Pediatric Dentistry · Washington, DC

NPI number 1013782077 Active

Practice location

3925 Minnesota Ave NE
Washington, DC 20019-2662

Call (312) 274-4530 Map

Mailing address

1270 4th St NE Apt 404
Washington, DC 20002-5894

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221XDEN2000422 (DC)
Pediatric Dentistry 1223P0221X18946 (MD)
Pediatric Dentistry Primary 1223P0221X0401419305 (VA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1013782077

Micah Dickerson, DDS's National Provider Identifier is 1013782077, issued on Nov 20, 2023. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Washington, DC. The record was last updated on Aug 12, 2026.