MEDICARE: DR. DEVIN DICKINSON D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DENT.DE.60372263	WA

General Provider Information

NPI Number	:	1841635349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEVIN DICKINSON D.D.S

Provider Business Mailing Address
First Line	:	4008 NASSAU PL
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98201-4855
Country	:	US
Telephone Number	:	206-353-2464
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 E DIVISION ST
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1292
Country	:	US
Telephone Number	:	206-353-2464
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2013
Last Update Date	:	03/23/2026

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