Organization
JEROMY R. DIXSON, D.M.D., P.S.
Active
Other names
SMILES DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANA FRANCHESCA HULTGREN (INSURANCE MANAGER)
(360) 577-1440
Entity
Organization
Contact information
Practice address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 577-0566
(360) 423-3343
Mailing address
820 OCEAN BEACH HWY, SUITE 110, LONGVIEW, WA 98632-4080
(360) 577-0566
(360) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
729364
WA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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