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Organization
DIXON DENTAL CARE
Active
Organization
DIXON DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C DIXON DDS (OWNER)
(304) 925-0322
Entity
Organization
Contact information
Practice address
3814 MACCORKLE AVE SE, CHARLESTON, WV 25304-1528
(304) 925-0322
(304) 925-8426
Mailing address
3814 MACCORKLE AVE SE, CHARLESTON, WV 25304-1528
(304) 925-0322
(304) 925-8426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
WV2300
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810010306
—
WV
Enumeration date
01/18/2008
Last updated
01/18/2008
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