Dixon, Jeffrey
Dixon, Jeffrey is an individual health care provider with primary practice located at 477 Connecticut Blvd Ste 105 , East Hartford CT 06108-3228. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Dixon, Jeffrey can be contacted via phone (860) 289-9397.Contact Information
Primary practice address
477 Connecticut Blvd Ste 105
East Hartford CT 06108-3228
Phone: (860) 289-9397
Fax: (860) 528-3129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 20732 | Massachusetts |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 10256 | Connecticut |
Profile Details
| NPI number | 1043321342 |
|---|---|
| LBN Legal business name | Dixon, Jeffrey |
| Credentials | DDS, M.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043321342 | NPPES |
| Massachusetts | MEDICAID | 0298093 |
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