Organization
CLARK A DIXON DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK A DIXON DMD (PRESIDENT)
(618) 937-1411
Entity
Organization
Contact information
Practice address
601 W MAIN ST, WEST FRANKFORT, IL 62896-2232
(618) 937-1411
(618) 937-1911
Mailing address
601 W MAIN ST, WEST FRANKFORT, IL 62896-2232
(618) 937-1411
(618) 937-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060.008005019.022512
IL
Other
Enumeration date
03/31/2007
Last updated
01/03/2008
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