Organization
MERION SQUARE ROAD MEDICAL P.C.
Active
Other names
Override
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD F DIXON MD (PRESIDENT)
(617) 312-6914
Entity
Organization
Contact information
Practice address
31 S MAIN ST STE 435, DAYTON, OH 45402-2070
(646) 598-8338
Mailing address
31 S MAIN ST STE 435, DAYTON, OH 45402-2070
(646) 598-8338
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/27/2023
Last updated
06/26/2025
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