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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588796866 NPPES
New York MEDICAID 02313537

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