Individual
DR. JEFFREY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, M.S.
Contact information
Practice address
477 CONNECTICUT BLVD STE 105, EAST HARTFORD, CT 06108-3228
(860) 289-9397
(860) 528-3129
Mailing address
477 CONNECTICUT BLVD STE 105, EAST HARTFORD, CT 06108-3228
(602) 899-3978
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10256
CT
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
20732
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298093
—
MA
Enumeration date
08/31/2006
Last updated
09/08/2021
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