Registration Header Parameters

Normalized identity and public registration information from FDA records.

Source

FDA Device Registration & Listing

Record Type

Device registration/listing

Registration Number

3013504876

FEI Number

3013504876

Entity Name

DICKERSON ORTHODONTICS

City/State/Country

Phoenix, AZ, US

Establishment Address

10810 N Tatum Blvd,, Suite 102-215, Phoenix, AZ 85028, US

Establishment Type(s)

Manufacture Medical Device

Owner / Operator

Dickerson Orthodontics (Owner Number: 10054516)

Owner / Operator Contact Address

10810 N Tatum Blvd, Suite 102-215, Phoenix, AZ 85028, US

Initial Importer Flag

Expiration Date (Year)

2026

510(k) Number

N/A

PMA Number

N/A

All Registered Proprietary Names

D2 Appliance D2 Appliance

Registered Product Listings

Product Code	Device Name	Medical Specialty	Device Class	Regulation Number	Created Date
EJF	Bracket, Metal, Orthodontic	Dental	Class 1	872.5410	2017-03-28
DZC	Wire, Orthodontic	Dental	Class 1	872.5410	2017-03-28

Official Correspondent

No official correspondent registered.

US Agent Details

No US Agent registered (Local establishment).

Related Public Records

Same Entity

Dickerson Orthodontics

View consolidated registration, premarket clearance, and recall records for this applicant.

View Entity Profile →

Related 510(k) Records

510(k) Number	Applicant	Device Name	Decision Date
K894358	Ormco Corp.	LUMINA ORTHODONTIC BRACKET	1989-09-15
K925012	American Orthodontics	PLASTIC CHAIN	1993-09-13
K112640	Ormco Corp.	HYPERELASTIC WIRE	2011-11-16

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Source Citation & Summary: This public preview is extracted from openFDA device registration and listing logs under registration number 3013504876. Last updated year: 2026. Please use registration number 3013504876 when referencing this establishment in official correspondence.