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JENNIFER M. DIXON DDS MS NPI 1669642617


NPI Information

NPI: 1669642617
Provider Name: JENNIFER M. DIXON, DDS, MS

Doing Business As: CHARLOTTESVILLE PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
229 CONNOR DR
CHARLOTTESVILLE, VA
ZIP 22911
Phone: (757) 975-7336
Get Directions

JENNIFER M. DIXON, DDS, MS is a pediatric dentistry dentist in Charlottesville, VA. The provider is 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. JENNIFER M. DIXON, DDS, MS NPI is 1669642617. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Charlottesville Pediatric Dentistry.

The provider's business location address is:

229 CONNOR DR
CHARLOTTESVILLE, VA
ZIP 22911-604
Phone: (757) 975-7336

The provider's authorized official is Lauren Dixon .
The authorized official title is Office Manager and has the following contact phone number (434) 975-7336.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 6/16/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry0401410755VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19178836MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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