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Organization
ZACHARY DIXON FAMILY DENTAL/ DIXON FAMILY DENTAL
Active
Organization
ZACHARY DIXON FAMILY DENTAL/ DIXON FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACHARY RANDALL DIXON (OWNER)
(501) 215-4913
Entity
Organization
Contact information
Practice address
1700 UNIVERSITY BLVD, SUITE 105, MORRILTON, AR 72110
(501) 215-4913
(501) 215-4900
Mailing address
PO BOX 658, MORRILTON, AR 72110
(501) 215-4913
(501) 215-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187603608
—
AR
Enumeration date
06/30/2015
Last updated
06/30/2015
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