# BREN DIXON DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bear Creek Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396085221
- **Authorized official:** DR. BREN DIXON DMD (MEMBER)
- **Authorized official phone:** (541) 773-3327

## Contact information

- **Practice address:** 1150 CRATER LAKE AVE, SUITE C, MEDFORD, OR 97504-6213
- **Practice address phone:** (541) 773-3327
- **Mailing address:** 1150 CRATER LAKE AVE, SUITE C, MEDFORD, OR 97504-6213
- **Mailing address phone:** (541) 773-3327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | D9739 | OR | Yes |

## Other

- **Enumeration date:** 03/01/2013
- **Last updated:** 03/01/2013