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DIXIE ORAL MAXILLOFACIAL & IMPLANT SURGERY NPI 1508980848


NPI Information

NPI: 1508980848
Provider Name: DIXIE ORAL, MAXILLOFACIAL & IMPLANT SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
10 DIAGONAL ST
SUITE 204
ST GEORGE, UT
ZIP 84770
Phone: (435) 673-1554
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DIXIE ORAL, MAXILLOFACIAL & IMPLANT SURGERY is an oral and maxillofacial surgery dentist in St George, UT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DIXIE ORAL, MAXILLOFACIAL & IMPLANT SURGERY NPI is 1508980848. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 DIAGONAL ST
SUITE 204
ST GEORGE, UT
ZIP 84770-878
Phone: (435) 673-1554
Fax: (435) 674-9967

The provider's authorized official is John Hideo Mizukawa .
The authorized official title is Oral Surgeon and has the following contact phone number (435) 673-1554.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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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