Individual
DR. MICHAEL BENJAMIN DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3380 E WILSON ST, FARMVILLE, NC 27828
(252) 753-2218
(252) 753-2218
Mailing address
PO BOX 774, FARMVILLE, NC 27828
(252) 753-2218
(252) 753-2218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7992172
—
NC
01
—
92172
BCBS
NC
Enumeration date
08/10/2006
Last updated
07/08/2007
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