Individual
DR. DAVID BRADLEY DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
690 LANIER PK DRIVE, GAINESVILLE, GA 30501
(770) 535-1456
Mailing address
690 LANIER PK DRIVE, GAINESVILLE, GA 30501
(770) 535-1456
(770) 532-1452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00301848A
—
GA
Enumeration date
10/31/2006
Last updated
07/08/2007
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