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BREN DIXON DMD LLC NPI 1396085221


NPI Information

NPI: 1396085221
Provider Name: BREN DIXON DMD LLC

Doing Business As: BEAR CREEK PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1150 CRATER LAKE AVE
SUITE C
MEDFORD, OR
ZIP 97504
Phone: (541) 773-3327
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BREN DIXON DMD LLC is a pediatric dentistry dentist in Medford, OR. 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. BREN DIXON DMD LLC NPI is 1396085221. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bear Creek Pediatric Dentistry.

The provider's business location address is:

1150 CRATER LAKE AVE
SUITE C
MEDFORD, OR
ZIP 97504-213
Phone: (541) 773-3327

The provider's authorized official is Bren Dixon .
The authorized official title is Member and has the following contact phone number (541) 773-3327.

The enumeration date for this NPI number is 3/1/2013 and was last updated on 3/1/2013.


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 DentistryD9739OREGONYes

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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