Individual provider · Type 1 NPI

Nathan Charlton Dickerson, DDS

Oral and Maxillofacial Surgery (Dentist) · Las Cruces, NM

NPI number 1497974844 Active

Practice location

2918 Hillrise Dr
Las Cruces, NM 88011-4702

Fax (505) 521-3556

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDD1601 (NM)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1497974844

Nathan Charlton Dickerson, DDS's National Provider Identifier is 1497974844, issued on Apr 24, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Las Cruces, NM. The record was last updated on Jul 8, 2007.