Organization
SIMSBURY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DIXON DDS, MS (OWNER)
(860) 651-9568
Entity
Organization
Contact information
Practice address
927 HOPMEADOW ST, SIMSBURY, CT 06070-1821
(860) 651-9568
Mailing address
927 HOPMEADOW ST, SIMSBURY, CT 06070-1821
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010256
CT
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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