| Clark A Dixon Dmd Pc | |
|
601 W Main St West Frankfort IL 62896-2232 | |
| (618) 937-1411 | |
| (618) 937-1911 |
| Full Name | Clark A Dixon Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 601 W Main St, West Frankfort, Illinois |
| Authorized Official Name and Position | Clark A Dixon (PRESIDENT) |
| Authorized Official Contact | 6189371411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clark A Dixon Dmd Pc 601 W Main St West Frankfort IL 62896-2232 Ph: (618) 937-1411 | Clark A Dixon Dmd Pc 601 W Main St West Frankfort IL 62896-2232 Ph: (618) 937-1411 |
| NPI Number | 1861512840 |
|---|---|
| Provider Enumeration Date | 03/31/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861512840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060.008005019.022512 (Illinois) | Primary |