Clark A Dixon Dmd Pc | |
601 W Main St West Frankfort IL 62896-2232 | |
(618) 937-1411 | |
(618) 937-1911 |
Full Name | Clark A Dixon Dmd Pc |
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Speciality | Dentist - General Practice |
Location | 601 W Main St, West Frankfort, Illinois |
Authorized Official Name and Position | Clark A Dixon (PRESIDENT) |
Authorized Official Contact | 6189371411 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clark A Dixon Dmd Pc 601 W Main St West Frankfort IL 62896-2232 Ph: (618) 937-1411 | Clark A Dixon Dmd Pc 601 W Main St West Frankfort IL 62896-2232 Ph: (618) 937-1411 |
NPI Number | 1861512840 |
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Provider Enumeration Date | 03/31/2007 |
Last Update Date | 01/03/2008 |
Identifier | Type | State | Issuer |
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1861512840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 060.008005019.022512 (Illinois) | Primary |