# ALAN M WIXOM DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184846545
- **Authorized official:** DR. ALAN M WIXOM D.D.S. (PRESIDENT)
- **Authorized official phone:** (970) 242-9202

## Contact information

- **Practice address:** 2490 PATTERSON RD., UNIT 2, GRAND JUNCTION, CO 81505
- **Practice address phone:** (970) 242-9202
- **Mailing address:** 2490 PATTERSON RD., UNIT 2, GRAND JUNCTION, CO 81505
- **Mailing address phone:** (970) 242-9202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 6381 | CO | Yes |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 08/22/2020