Todd Dixon Family Dentistry LLC
NPI #1003463845 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1003463845
- Entity Type
- Organization
- Organization Name
- Todd Dixon Family Dentistry LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Aug 26, 2019
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 26 PARKWAY BLVD
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39401-8879
- Phone
- (601) 583-6613
Authorized Official
- Name
- STEPHEN TODD DIXON, DMD
- Title
- DENTIST
- Phone
- (601) 583-6613
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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