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Physician Profile

Ty Dickerson, M.D.

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At a glance

About Dr. Dickerson

Based in Salt Lake City, UT, Ty Dickerson, M.D. is listed in the NPI registry under pediatrics. NPI 1639102684 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Pediatrics (Primary)

Credentials & Licensing

UT licenceAs reported to the NPI registry
No. 6279497-1205As reported
NPINational Provider Identifier
1639102684Issued 2006

As reported to the NPI registry ↗

Common questions

What does Ty Dickerson specialize in?

Ty Dickerson is a pediatrician in Salt Lake City, UT. That is the designation recorded for this NPI in the federal registry, where it is listed as “Pediatrics”.

NPI registry

Where is Ty Dickerson located?

Ty Dickerson is listed at 100 N Medical Dr Pcmc, Inpatient Medicine Division, Salt Lake City, UT 84113. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Ty Dickerson's phone number?

The number on file is (801) 588-3813. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Ty Dickerson's NPI number?

Ty Dickerson's National Provider Identifier is 1639102684. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Ty Dickerson been practicing?

Ty Dickerson has 20+ years experience. Registered with an NPI since 2006. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Ty Dickerson confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Ty Dickerson. If this is you, claiming it is free.

Guide.md

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