Gordon Hamilton Dixon in San Diego - Pediatric Dentistry

Gordon Hamilton Dixon - NPI 1477620169

Gordon Hamilton Dixon is a Pediatric Dentistry in San Diego, California. Gordon Hamilton Dixon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Gordon Hamilton Dixon is 1477620169. The last update date is 2007-07-08.

Gordon Hamilton Dixon's current location address is 11616 Iberia Place, San Diego, California. You can contact this provider via phone number 8586765000 and fax number 8586765016. The mailing address for Gordon Hamilton Dixon is 11616 Iberia Place, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordon Hamilton Dixon
Address 11616 Iberia Place, San Diego, California
Phone Number 8586765000
Fax Number 8586765016
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1477620169
Provider Enumeration Date 2006-11-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11616 Iberia Place
City San Diego
State California (CA)
Post Code 92128
Phone Number 8586765000
Fax Number 8586765016

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 24969
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D2496901 CA --
809272 UNITED CONCORDIA INS

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FAQs about Gordon Hamilton Dixon

What is the unique provider identifier assigned to Gordon Hamilton Dixon?

The Gordon Hamilton Dixon has been issued the NPI (National Provider Identifier) 1477620169 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Gordon Hamilton Dixon's facilities are situated?

The facilities of Gordon Hamilton Dixon are physically located at the following address: 11616 Iberia Place, San Diego, CA, 92128.

What is Gordon Hamilton Dixon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gordon Hamilton Dixon is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.

On what date did the Gordon Hamilton Dixon receive the assignment of its 1477620169 from the Centers for Medicare & Medicaid Services?

The Gordon Hamilton Dixon was issued its 1477620169 by the Centers for Medicare & Medicaid Services on 2006-11-29.

As of what date were the details related to Gordon Hamilton Dixon most recently updated or revised?

The information pertaining to Gordon Hamilton Dixon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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