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
Phone: (208) 734-3578
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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