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Individual

DR. THOMAS MALCOLM DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
512 EAST GREER STREET, HONEA PATH, SC 29654
(864) 369-9000
(864) 369-9800
Mailing address
PO BOX 183, HONEA PATH, SC 29654
(864) 369-9000
(864) 369-9800

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3041
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Z30413
SC
Enumeration date
05/27/2006
Last updated
07/08/2007
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