Dixson, P.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9942 Issued in WA

Legal business name

DIXSON, P.S.

Doing business as

South Sound Smiles Dental

Practice address

344 Cleveland Ave SE
Suite F
Tumwater, WA 98501-3342

Phone

(360) 352-7140

Fax

(360) 956-9709

NPI assigned

Nov 9, 2010

Last updated

Nov 9, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Dana Franchesca Hultgren

Title

Insurance Manager

Phone

(360) 577-1440

Specialties & licenses 1

Addresses

Other names 1

• South Sound Smiles Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1477854339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 OCEAN BEACH HWY",
            "address_2": "SUITE 110",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324080",
            "telephone_number": "360-577-0566",
            "fax_number": "360-423-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CLEVELAND AVE SE",
            "address_2": "SUITE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013342",
            "telephone_number": "360-352-7140",
            "fax_number": "360-956-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXSON, P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "HULTGREN",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "FRANCHESCA",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "360-577-1440",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "9942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Sound Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ajaipal Dhanoa, DDS
• Jose Luis Diaz, MA6056739
• Emily Dibble
• Zachary Dicks, DPT
• Deborah Dineen
• Bernard Timothy Dolby, DMD
• Michael Joseph Donaldson
• Anetira Mary Donelan
• Donna Elam PLLC (One Collective)
• Brendan P Donohue, DPT

• General Practice Dentistry in Tumwater, WA
• Providers in Tumwater, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.