Corby M. Dixon

Dentist · Preston, ID

Individual Active NPI

NPI number 1265093017

Practice location

395 E 600 S
Preston, ID 83263-4901
Phone
(208) 852-0194

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NPI record

NPI
1265093017
Entity type
Individual (Type 1)
Enumeration date
June 24, 2019
Last updated
March 21, 2024
Certified
March 21, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D5018 ID

Mailing address

6037 Bessinger St
Fort Sill, OK 73503-4406
Phone
(580) 442-6106

Other practice locations (1)

  • 6037 Bessinger St, Fort Sill, OK 73503-4406 · (580) 442-6106

About Corby Dixon

Corby M. Dixon is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 395 E 600 S, Preston, ID 83263-4901. The NPI number 1265093017 was assigned on June 24, 2019 and the record was last updated on March 21, 2024.

Corby Dixon lists a license in the registry: #D5018 (ID) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corby M. Dixon?

The NPI number is 1265093017.

What is the phone number of Corby Dixon?

The phone number listed for the practice location is (208) 852-0194.

Where is Corby Dixon located?

395 E 600 S, Preston, ID 83263-4901.

What is the taxonomy code for Corby Dixon?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Dentist providers in Preston

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