NPI Search for Physicians and Health Care Providers
DR. MICHAEL EVAN DIXON D.D.S.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1760593024
Individual Registrant:
DR. MICHAEL EVAN DIXON D.D.S.
Gender: M
Not Sole Proprietor
Location and contact information for practice:
410 YEARICK ST ARGOS, IN 46501-1036 US
Tel: 574-892-5513 Fax: 574-892-5279
Contact information for business:
1601 LAKE AVE PLYMOUTH, IN 46563-2450 US
Tel: 574-952-0674 Fax: --
Registration Information:
NPI: 1760593024
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 1223G0001X | Dental Providers Dentist General Practice | IN | 12009813 |
Legacy codes, insurance codes and state license numbers:
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