| Thomas M Dixon Dmd Pa | |
|
512 E Greer St Honea Path SC 29654-1823 | |
| (864) 369-9000 | |
| (864) 369-9800 |
| Full Name | Thomas M Dixon Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 512 E Greer St, Honea Path, South Carolina |
| Authorized Official Name and Position | Thomas Malcolm Dixon (OWNER) |
| Authorized Official Contact | 8643699000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas M Dixon Dmd Pa Po Box 183 512 E Greer St Honea Path SC 29654-0183 Ph: (864) 369-9000 | Thomas M Dixon Dmd Pa 512 E Greer St Honea Path SC 29654-1823 Ph: (864) 369-9000 |
| NPI Number | 1215059969 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215059969 | NPI | - | NPPES |
| Z30413 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3041 (South Carolina) | Primary |
Honea Path Family Dentistry, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 322 N Shirley Ave, Honea Path, SC 29654 Phone: 864-369-2966 Fax: 864-369-0666 |