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Todd Dixon Family Dentistry Llc
Dental Clinic/Center in Hattiesburg, Mississippi
NPI 1003463845

Todd Dixon Family Dentistry Llc is a Dental Clinic/Center based in Hattiesburg, MS and is specialized in Dental. Todd Dixon Family Dentistry Llc practices in Hattiesburg, MS. The NPI Number for Todd Dixon Family Dentistry Llc is 1003463845 and holds a License No. (Mississippi).

The current practice location address for Todd Dixon Family Dentistry Llc is 26 Parkway Blvd, Hattiesburg, MS and can be reached out via phone at 601-583-6613 and via fax at 601-583-9832.

Location: 26 Parkway Blvd, Hattiesburg, MS, 39401-8879
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003463845
Provider Name
Todd Dixon Family Dentistry Llc
Credential
Provider Entity Type
Organization
Address
26 Parkway Blvd, Hattiesburg, MS, 39401-8879
Phone Number
601-583-6613
Fax Number
601-583-9832
Provider Enumeration Date
08/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00660391 05 MS
institution
Provider Business Practice Location Address Details
Address
26 Parkway Blvd
City
Hattiesburg
State
Mississippi
Zip
39401-8879
Phone Number
601-583-6613
Fax Number
601-583-9832
person
Provider Business Mailing Address Details
Address
26 Parkway Blvd
City
Hattiesburg
State
Mississippi
Zip
39401-8879
Phone Number
601-583-6613
Fax Number
601-583-9832
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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