DR. NATHAN CHARLTON DICKERSON D.D.S. NPI 1497974844

NPI Information

  • NPI: 1497974844
  • Provider Name: DR. NATHAN CHARLTON DICKERSON, D.D.S.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 2918 HILLRISE DR
    LAS CRUCES, NM
    ZIP 88011
  • Phone: (505) 522-0821

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NPI Details

DR. Nathan Charlton Dickerson, D.D.S. is an oral and maxillofacial surgery dentist in Las Cruces, NM. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Nathan Charlton Dickerson, D.D.S. NPI is 1497974844. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2918 HILLRISE DR
LAS CRUCES, NM
ZIP 88011-702
Phone: (505) 522-0821
Fax: (505) 521-3556

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDD1601NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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