Clark a Dixon DMD PC

General Practice Dentistry · West Frankfort, IL

Organization Active NPI

NPI number 1861512840

Practice location

601 W Main St
West Frankfort, IL 62896-2232
Phone
(618) 937-1411
Fax
(618) 937-1911

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NPI record

NPI
1861512840
Entity type
Organization (Type 2)
Enumeration date
March 31, 2007
Last updated
January 3, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 060.008005019.022512 IL

Authorized official

Name
Dr. Clark A Dixon, DMD
Title
President
Phone
(618) 937-1411

About Clark a Dixon DMD PC

Clark a Dixon DMD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 601 W Main St, West Frankfort, IL 62896-2232. The NPI number 1861512840 was assigned on March 31, 2007 and the record was last updated on January 3, 2008.

Clark a Dixon DMD PC lists a license in the registry: #060.008005019.022512 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Clark A Dixon, DMD, President.

Frequently asked questions

What is the NPI number of Clark a Dixon DMD PC?

The NPI number is 1861512840.

What is the phone number of Clark a Dixon DMD PC?

The phone number listed for the practice location is (618) 937-1411.

Where is Clark a Dixon DMD PC located?

601 W Main St, West Frankfort, IL 62896-2232.

What is the taxonomy code for Clark a Dixon DMD PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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.