Individual
DR. JEREMY JAMES DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
195 3RD AVE, NEW YORK, NY 10003-2501
(212) 477-7712
(212) 477-8062
Mailing address
195 3RD AVE, NEW YORK, NY 10003-2501
(212) 477-7712
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02313537
—
NY
Enumeration date
03/12/2007
Last updated
09/11/2023
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