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Individual

DR. JESSIE DIXON II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
944 21ST AVE N APT 909, NASHVILLE, TN 37208-3468
(318) 573-9918
Mailing address
5602 TREECROSSING PKWY, HOOVER, AL 35244
(318) 573-9918

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
31660
TX
1223G0001X
General Practice Dentistry
6698
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/12/2015
Last updated
10/18/2022
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