# JEROMY R. DIXSON, D.M.D., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMILES DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093020778
- **Authorized official:** MRS. DANA FRANCHESCA HULTGREN (INSURANCE MANAGER)
- **Authorized official phone:** (360) 577-1440

## Contact information

- **Practice address:** 820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
- **Practice address phone:** (360) 577-0566
- **Practice address fax:** (360) 423-3343
- **Mailing address:** 820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
- **Mailing address phone:** (360) 577-0566
- **Mailing address fax:** (360) 423-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 729364 | WA | Yes |

## Other

- **Enumeration date:** 08/18/2010
- **Last updated:** 08/18/2010