DR. Clark A Dixon, DMD

NPI #1376693382 in West Frankfort, Illinois

Provider Information

NPI Number: 1376693382
Entity Type: Individual
Name: DR. Clark A Dixon, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jan 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 601 W MAIN ST
City: West Frankfort
State: Illinois
ZIP Code: 62896-2232
Phone: (618) 937-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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