Individual
DR. BREN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1150 CRATER LAKE AVE, SUITE C, MEDFORD, OR 97504-6213
(541) 773-3327
Mailing address
1150 CRATER LAKE AVE STE C, MEDFORD, OR 97504-6213
(541) 773-3327
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
745
FL
122300000X
Dentist
7983955-9923
UT
1223P0221X
Pediatric Dentistry
Primary
D9739
OR
Other
Enumeration date
07/23/2009
Last updated
03/11/2026
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