James L. Dixon, Dmd, Ps | |
2520 Perry Ave Ste A Bremerton WA 98310-5219 | |
(360) 479-2240 | |
(360) 792-5952 |
Full Name | James L. Dixon, Dmd, Ps |
---|---|
Speciality | Clinic/center - Dental |
Location | 2520 Perry Ave Ste A, Bremerton, Washington |
Authorized Official Name and Position | James Lorne Dixon (DENTIST PRESIDENT OWNER) |
Authorized Official Contact | 3604792240 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
James L. Dixon, Dmd, Ps 2520 Perry Ave Ste A Bremerton WA 98310-5219 Ph: (360) 479-2240 | James L. Dixon, Dmd, Ps 2520 Perry Ave Ste A Bremerton WA 98310-5219 Ph: (360) 479-2240 |
NPI Number | 1164689378 |
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Provider Enumeration Date | 05/16/2008 |
Last Update Date | 05/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164689378 | NPI | - | NPPES |
5338504 | Other | WA | WA STATE DEPT OF SOCIAL AND HEALTH SERVICES |
8020166 | Medicaid | WA | |
1457369373 | Other | WA | INDIVIDUAL NPI NUMBER |
4335 | Other | WA | WA STATE DENTAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 4334 (Washington) | Primary |
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