| Todd Dixon Family Dentistry Llc | |
|
26 Parkway Blvd Hattiesburg MS 39401-8879 | |
| (601) 583-6613 | |
| (601) 583-9832 |
| Full Name | Todd Dixon Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 26 Parkway Blvd, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Stephen Todd Dixon (DENTIST) |
| Authorized Official Contact | 6015836613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Dixon Family Dentistry Llc 26 Parkway Blvd Hattiesburg MS 39401-8879 Ph: (601) 583-6613 | Todd Dixon Family Dentistry Llc 26 Parkway Blvd Hattiesburg MS 39401-8879 Ph: (601) 583-6613 |
| NPI Number | 1003463845 |
|---|---|
| Provider Enumeration Date | 08/26/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003463845 | NPI | - | NPPES |
| 00660391 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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