Nixon, Dale T
Nixon, Dale T is an individual health care provider with primary practice located at 615 Lake Shore Dr W , Ashland WI 54806-1507. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nixon, Dale T can be contacted via phone (715) 682-2811.Contact Information
Primary practice address
615 Lake Shore Dr W
Ashland WI 54806-1507
Phone: (715) 682-2811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 3829 015 EWI | Wisconsin |
Profile Details
| NPI number | 1538224522 |
|---|---|
| LBN Legal business name | Nixon, Dale T |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1538224522 | NPPES |
| Wisconsin | MEDICAID | 33497500 |
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