Dixon, Russell Alexander

Dixon, Russell Alexander is an sole proprietor health care provider with primary practice located at 820 S Damen Ave , Chicago IL 60612-3728. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Dixon, Russell Alexander can be contacted via phone (131) 256-8387.

Contact Information

Primary practice address
820 S Damen Ave Chicago IL 60612-3728
Phone: (131) 256-8387
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1689766388
LBN Legal business name Dixon, Russell Alexander
Credentials DR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 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.

Request for update

Popular Providers