Dixon, Gordon Hamilton
Dixon, Gordon Hamilton is an individual health care provider with primary practice located at 11616 Iberia Place , San Diego CA 92128. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dixon, Gordon Hamilton can be contacted via phone (858) 676-5000.Contact Information
Primary practice address
11616 Iberia Place
San Diego CA 92128
Phone: (858) 676-5000
Fax: (858) 676-5016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 24969 | California |
Profile Details
| NPI number | 1477620169 |
|---|---|
| LBN Legal business name | Dixon, Gordon Hamilton |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477620169 | NPPES |
| California | MEDICAID | D2496901 | |
| California | Other | 809272 |
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