Individual provider · Type 1 NPI

Corey Dickson

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1740938992 Active

Practice location

3401 N Broad St
Philadelphia, PA 19140-5189

Call (800) 836-7536 Map

Mailing address

1431 Fitzwater St Unit 1
Philadelphia, PA 19146-2290

Other practice locations

  • 630 W 168th St, New York, NY 10032-3725 · (212) 305-2500

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS044551 (PA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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 1740938992

Corey Dickson's National Provider Identifier is 1740938992, issued on Mar 16, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Philadelphia, PA. The record was last updated on May 15, 2024.