Blaine Taylor Dixon in Modesto - Dentist

Blaine Taylor Dixon - NPI 1306959143

Blaine Taylor Dixon is a Dentist in Modesto, California. Blaine Taylor Dixon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blaine Taylor Dixon is 1306959143. The last update date is 2007-07-08.

Blaine Taylor Dixon's current location address is 3609 Coffee Road, Modesto, California. You can contact this provider via phone number 2095260676 and fax number 2095260676. The mailing address for Blaine Taylor Dixon is 3609 Coffee Road, Modesto, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Blaine Taylor Dixon
Address 3609 Coffee Road, Modesto, California
Phone Number 2095260676
Fax Number 2095260676
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1306959143
Provider Enumeration Date 2006-08-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3609 Coffee Road
City Modesto
State California (CA)
Post Code 953551100
Phone Number 2095260676
Fax Number 2095260676

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19494
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Blaine Taylor Dixon

What is the Blaine Taylor Dixon's unique identification number?

The Blaine Taylor Dixon has been assigned the NPI (National Provider Identifier) Number 1306959143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Blaine Taylor Dixon is physically located?

The Blaine Taylor Dixon is situated at the following address: 3609 Coffee Road, Modesto, CA 953551100.

What is Blaine Taylor Dixon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Blaine Taylor Dixon is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306959143 to Blaine Taylor Dixon?

The Blaine Taylor Dixon received its 1306959143 assignment from the Centers for Medicare & Medicaid Services on 2006-08-16.

When was the information regarding Blaine Taylor Dixon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Blaine Taylor Dixon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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