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Organization

JAMES L. DIXON, DMD, PS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES LORNE DIXON DDS, PS (DENTIST PRESIDENT OWNER)
(360) 479-2240
Entity
Organization

Contact information

Practice address
2520 PERRY AVE STE A, BREMERTON, WA 98310-5219
(360) 479-2240
(360) 792-5952
Mailing address
2520 PERRY AVE STE A, BREMERTON, WA 98310-5219
(360) 479-2240
(360) 792-5952

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4334
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457369373
INDIVIDUAL NPI NUMBER
WA
01
4335
WA STATE DENTAL LICENSE
WA
01
5338504
WA STATE DEPT OF SOCIAL AND HEALTH SERVICES
WA
05
8020166
WA
Enumeration date
05/16/2008
Last updated
05/16/2008
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