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Organization
JEROMY R. DIXSON, D.M.D., P.S.
Active
Organization
JEROMY R. DIXSON, D.M.D., P.S.
Active
Other names
SMILES DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA FRANCHESCA HULTGREN (INSURANCE MANAGER)
(360) 577-1440
Entity
Organization
Contact information
Practice address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 577-0566
(360) 423-3343
Mailing address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 577-0566
(360) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
729364
WA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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