Melissa A Dixon D.D.S.

NPI 1417090051 - Dentist - 1223G0001X

NPI Details
NPI 1417090051
Gender Female
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
205 ELM ST
IDAHO FALLS ID, 83402-4054, US
Phone (208) 524-2771
Fax (208) 529-4277
Business Location
205 ELM ST
IDAHO FALLS ID, 83402-4054, US
Phone (208) 524-2771
Fax (208) 529-4277
Toxanomy
Taxonomy Code 1223G0001X
License State Idaho
License Number D-2055
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According to our database, Dr. Melissa A Dixon D.D.S. NPI is 1417090051, taxonomy code is 1223G0001X and license number is D-2055, license state is located at Idaho. Melissa A Dixon D.D.S. physically located at 205 Elm St, Idaho Falls ID, 83402-4054. NPI Number Melissa A Dixon D.D.S. has the Individual type.

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1417090051 NPI number is provided on an as is basis without warranty of any kind. 1417090051 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa A Dixon D.D.S. are for informational purposes only.