Dixon, James Loren

Dixon, James Loren is an individual health care provider with primary practice located at 221 Winslow Way W #302 , Bainbridge Island WA 98110. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Dixon, James Loren can be contacted via phone (206) 780-6908.

Contact Information

Primary practice address
221 Winslow Way W #302 Bainbridge Island WA 98110
Phone: (206) 780-6908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4334 Washington

Profile Details

NPI number 1457369373
LBN Legal business name Dixon, James Loren
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Sep 27th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457369373 NPPES
Washington Other 5338504 DSHS
Washington Other 4334 DSHS
Washington MEDICAID 8020166 DSHS

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