Individual
DR. DOUGLAS R. DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD, PHD
Contact information
Practice address
646 SWIFT ROAD, USA DENTAC, WEST POINT, NY 10996-1905
(845) 938-4611
(845) 938-4302
Mailing address
646 SWIFT ROAD, USA DENTAC, WEST POINT, NY 10996-1905
(845) 938-4611
(845) 938-4302
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
021.002168
IL
1223P0300X
Periodontics
Primary
6074-015
WI
Other
Enumeration date
04/08/2006
Last updated
07/19/2012
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