| Jeromy R. Dixson, Dmd, Llc | |
|
2225 Mission St Se Ste. 150 Salem OR 97302-1297 | |
| (503) 585-1458 | |
| Not Available |
| Full Name | Jeromy R. Dixson, Dmd, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2225 Mission St Se, Salem, Oregon |
| Authorized Official Name and Position | Dana Franchesca Hultgren (INSURANCE MANAGER) |
| Authorized Official Contact | 3605771440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeromy R. Dixson, Dmd, Llc 820 Ocean Beach Hwy Ste. 110 Longview WA 98632-4080 Ph: (360) 577-1440 | Jeromy R. Dixson, Dmd, Llc 2225 Mission St Se Ste. 150 Salem OR 97302-1297 Ph: (503) 585-1458 |
| NPI Number | 1306129333 |
|---|---|
| Provider Enumeration Date | 09/26/2011 |
| Last Update Date | 09/26/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306129333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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