# ZACHARY DIXON FAMILY DENTAL/ DIXON FAMILY DENTAL

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

## Provider details

- **NPI number:** 1871976530
- **Authorized official:** DR. ZACHARY RANDALL DIXON (OWNER)
- **Authorized official phone:** (501) 215-4913

## Contact information

- **Practice address:** 1700 UNIVERSITY BLVD, SUITE 105, MORRILTON, AR 72110
- **Practice address phone:** (501) 215-4913
- **Practice address fax:** (501) 215-4900
- **Mailing address:** PO BOX 658, MORRILTON, AR 72110
- **Mailing address phone:** (501) 215-4913
- **Mailing address fax:** (501) 215-4900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2015
- **Last updated:** 06/30/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 187603608 | — | AR |