Dixon Dental Care

LBN: Dixon Dental Care
Dixon Dental Care is an health care organization with primary practice located at 3814 Maccorkle Ave Se , Charleston WV 25304-1528. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dixon Dental Care can be contacted via phone (304) 925-0322, or through Dixon, John C via phone (304) 925-0322.

Contact Information

Primary practice address
3814 Maccorkle Ave Se Charleston WV 25304-1528
Fax: (304) 925-8426
Website:
Authorized official contact:
Name: Dixon, John C Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X WV2300 West Virginia

Profile Details

NPI number 1417133661
LBN Legal business name Dixon Dental Care
DBA Doing business as
Authorized official Dixon, John C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2008
Last updated Jan 18th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417133661 NPPES
West Virginia MEDICAID 3810010306

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