Jeromy R. Dixson, Dmd, LLC

NPI #1306129333 in Salem, Oregon

Provider Information

NPI Number: 1306129333
Entity Type: Organization
Organization Name: Jeromy R. Dixson, Dmd, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 26, 2011
Last Updated: Sep 26, 2011

Practice Location

Address: 2225 MISSION ST SE
Address 2: STE. 150
City: Salem
State: Oregon
ZIP Code: 97302-1297
Phone: (503) 585-1458

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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