Organization
LIBERTY PARK DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JAMES DIXSON DDS (DENTIST)
(816) 415-8080
Entity
Organization
Contact information
Practice address
1508 NE 96TH ST, SUITE A, LIBERTY, MO 64068-1348
(816) 415-8080
(816) 415-8083
Mailing address
1508 NE 96TH ST, SUITE A, LIBERTY, MO 64068-1348
(816) 415-8080
(816) 415-8083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015821
MO
Other
Enumeration date
01/25/2007
Last updated
08/13/2008
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