Dr. William J Dickson, D.D.S
Dentist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1215902002
StatusActive
Last updated in NPPESMay 18, 2009
Details
- NPI
- 1215902002
- Entity type
- Individual (NPI-1)
- Name
- Dr. William J Dickson
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2006
- Last updated
- May 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5376 | OK | Yes |
Practice location
Peterson Afb, Bld 950Colorado Springs, CO 80914
Phone 719-556-1333
Mailing address
10662 Black Kettle WayColorado Springs, CO 80908-5202
Phone 719-556-1333
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