Organization
JENNIFER M. DIXON, DDS, MS
Active
Other names
Charlottesville Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN DIXON (OFFICE MANAGER)
(434) 975-7336
Entity
Organization
Contact information
Practice address
229 CONNOR DR, CHARLOTTESVILLE, VA 22911-5604
(757) 975-7336
Mailing address
229 CONNOR DR, CHARLOTTESVILLE, VA 22911-5604
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410755
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178836
—
VA
Enumeration date
03/06/2008
Last updated
06/16/2008
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