Dixon, Debra Ann
Dixon, Debra Ann is an individual health care provider with primary practice located at 195 University Park Dr , Edwardsville IL 62025-3645. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as her primary health care specialty. Dixon, Debra Ann can be contacted via phone (618) 650-5781.Contact Information
Primary practice address
195 University Park Dr
Edwardsville IL 62025-3645
Phone: (618) 650-5781
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Radiology | 1223X0008X | 019.023706 | Illinois |
Profile Details
NPI number | 1780350330 |
---|---|
LBN Legal business name | Dixon, Debra Ann |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 23rd, 2021 |
Last updated | Aug 23rd, 2021 - 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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