Dixie Oral, Maxillofacial & Implant Surgery

LBN: Dixie Oral, Maxillofacial & Implant Surgery
Dixie Oral, Maxillofacial & Implant Surgery is an health care organization with primary practice located at 10 Diagonal St Suite 204, St George UT 84770-2878. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Dixie Oral, Maxillofacial & Implant Surgery can be contacted via phone (435) 673-1554, or through Mizukawa, John Hideo via phone (435) 673-1554.

Contact Information

Primary practice address
10 Diagonal St Suite 204 St George UT 84770-2878
Fax: (435) 674-9967
Website:
Authorized official contact:
Name: Mizukawa, John Hideo Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1508980848
LBN Legal business name Dixie Oral, Maxillofacial & Implant Surgery
DBA Doing business as
Authorized official Mizukawa, John Hideo Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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