Organization
DIXON DENTAL CENTER
Active
Other names
Lorin E. Dixon, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORIN E DIXON D.M.D. (OWNER)
(208) 524-2771
Entity
Organization
Contact information
Practice address
205 ELM ST, SUITE A, IDAHO FALLS, ID 83402-4054
(208) 524-2771
(208) 529-4277
Mailing address
205 ELM ST, SUITE A, IDAHO FALLS, ID 83402-4054
(208) 524-2771
(208) 529-4277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1975
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001216200
—
ID
Enumeration date
06/26/2008
Last updated
06/26/2008
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