Jeromy R. Dixson, D.m.d., P.s.

NPI #1093020778 in Longview, Washington

Provider Information

NPI Number: 1093020778
Entity Type: Organization
Organization Name: Jeromy R. Dixson, D.m.d., P.s.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 18, 2010
Last Updated: Aug 18, 2010

Practice Location

Address: 820 OCEAN BEACH HWY
Address 2: SUITE 110
City: Longview
State: Washington
ZIP Code: 98632-4080
Phone: (360) 577-0566

Authorized Official

Name: MRS. DANA FRANCHESCA HULTGREN
Title: INSURANCE MANAGER
Phone: (360) 577-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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