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DR. MICHAEL EVAN DIXON D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
IN12009813

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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