Organization
GARY D DIXON DDS PLLC
Active
Other names
Dixon Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D DIXON DDS (MANAGER)
(303) 430-4200
Entity
Organization
Contact information
Practice address
1075 E SOUTH BOULDER RD, SUITE 235, SUPERIOR, CO 80027-2560
(303) 430-4200
Mailing address
405 CENTER DR, SUITE H, SUPERIOR, CO 80027-8626
(303) 430-4200
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10401
CO
Other
Enumeration date
09/07/2011
Last updated
05/01/2015
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