Dixon, Spencer Warren

Dixon, Spencer Warren is an individual health care provider with primary practice located at 452 Cheney Dr W Ste 150 , Twin Falls ID 83301-3733. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Dixon, Spencer Warren can be contacted via phone (208) 734-3578.

Contact Information

Primary practice address
452 Cheney Dr W Ste 150 Twin Falls ID 83301-3733
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 9198 Kentucky
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D-4378-OR Idaho

Profile Details

NPI number 1396033114
LBN Legal business name Dixon, Spencer Warren
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2011
Last updated May 29th, 2015 - about 10 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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