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Contact Information

JOHN W DICKINSON, DDS
704 N MAIN STREET
DE SOTO, MO63020
 Phone: 636-586-3388
 Fax: 636-586-4065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for JOHN W DICKINSON · (Male)

NPI # 1235109877
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/25/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 012468
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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