Todd Dixon Family Dentistry Llc | |
26 Parkway Blvd Hattiesburg MS 39401-8879 | |
(601) 583-6613 | |
(601) 583-9832 |
Full Name | Todd Dixon Family Dentistry Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 26 Parkway Blvd, Hattiesburg, Mississippi |
Authorized Official Name and Position | Stephen Todd Dixon (DENTIST) |
Authorized Official Contact | 6015836613 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Todd Dixon Family Dentistry Llc 26 Parkway Blvd Hattiesburg MS 39401-8879 Ph: (601) 583-6613 | Todd Dixon Family Dentistry Llc 26 Parkway Blvd Hattiesburg MS 39401-8879 Ph: (601) 583-6613 |
NPI Number | 1003463845 |
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Provider Enumeration Date | 08/26/2019 |
Last Update Date | 09/24/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003463845 | NPI | - | NPPES |
00660391 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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