Individual
DR. DALE T NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
615 LAKE SHORE DR W, ASHLAND, WI 54806-1507
(715) 682-2811
Mailing address
PO BOX 41, MANITOWISH WATERS, WI 54545-0041
(715) 543-2616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3829 015 EWI
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33497500
—
WI
Enumeration date
12/27/2006
Last updated
03/07/2023
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