Dixon, Jeremy James
Dixon, Jeremy James is an sole proprietor health care provider with primary practice located at 195 3Rd Ave , New York NY 10003-2501. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dixon, Jeremy James can be contacted via phone (212) 477-7712.Contact Information
Primary practice address
195 3Rd Ave
New York NY 10003-2501
Phone: (212) 477-7712
Fax: (212) 477-8062
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 049613 | New York |
Profile Details
| NPI number | 1588796866 |
|---|---|
| LBN Legal business name | Dixon, Jeremy James |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2007 |
| Last updated | Sep 11th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588796866 | NPPES |
| New York | MEDICAID | 02313537 |
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