Individual
DR. TRAVIS MICHAEL DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1230 S REDWOOD RD, SALT LAKE CITY, UT 84104-3707
(385) 295-1601
Mailing address
1048 W DUPONT AVE, SALT LAKE CITY, UT 84116-1203
(801) 870-4615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12838009-9923
UT
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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