Organization
THOMAS M DIXON DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MALCOLM DIXON (OWNER)
(864) 369-9000
Entity
Organization
Contact information
Practice address
512 E GREER ST, HONEA PATH, SC 29654-1823
(864) 369-9000
(864) 369-9800
Mailing address
PO BOX 183, 512 E GREER ST, HONEA PATH, SC 29654-0183
(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
04/04/2007
Last updated
08/22/2020
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