Dixon Family Dentistry Pa | |
26 Parkway Blvd Dixon Family Dentistry Hattisburg MS 39401 | |
(601) 583-6613 | |
(601) 583-9832 |
Full Name | Dixon Family Dentistry Pa |
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Speciality | Dentist - General Practice |
Location | 26 Parkway Blvd, Hattisburg, Mississippi |
Authorized Official Name and Position | Bruce H Dixon (OWNER) |
Authorized Official Contact | 6015836613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dixon Family Dentistry Pa 26 Parkway Blvd Dixon Family Dentistry Hattisburg MS 39401 Ph: (601) 583-6613 | Dixon Family Dentistry Pa 26 Parkway Blvd Dixon Family Dentistry Hattisburg MS 39401 Ph: (601) 583-6613 |
NPI Number | 1205849189 |
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Provider Enumeration Date | 08/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1205849189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 157973 (Mississippi) | Primary |
Urgent Care Dental Center P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2104 Hardy St, Hattisburg, MS 39401 Phone: 601-583-4004 Fax: 501-583-4005 |