| Gary D Dixon Dds Pllc | |
|
1075 E South Boulder Rd Suite 235 Superior CO 80027-2560 | |
| (303) 430-4200 | |
| Not Available |
| Full Name | Gary D Dixon Dds Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1075 E South Boulder Rd, Superior, Colorado |
| Authorized Official Name and Position | Gary D Dixon (MANAGER) |
| Authorized Official Contact | 3034304200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary D Dixon Dds Pllc 405 Center Dr Suite H Superior CO 80027-8626 Ph: (303) 430-4200 | Gary D Dixon Dds Pllc 1075 E South Boulder Rd Suite 235 Superior CO 80027-2560 Ph: (303) 430-4200 |
| NPI Number | 1497036271 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 05/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497036271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 10401 (Colorado) | Primary |
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