Organization
JEROMY R. DIXSON, DMD, LLC
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
2225 MISSION ST SE, STE. 150, SALEM, OR 97302-1297
(503) 585-1458
Mailing address
820 OCEAN BEACH HWY, STE. 110, LONGVIEW, WA 98632-4080
(360) 577-1440
(360) 423-3343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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