Provider Demographics
NPI:1407993827
Name:DIXIT, PRIYA N (DDS MPH)
Entity Type:Individual
Prefix:DR
First Name:PRIYA
Middle Name:N
Last Name:DIXIT
Suffix:
Gender:F
Credentials:DDS MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 PROMINENCE POINT PKWY STE 500
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:GA
Mailing Address - Zip Code:30114-9113
Mailing Address - Country:US
Mailing Address - Phone:770-479-9999
Mailing Address - Fax:
Practice Address - Street 1:150 PROMINENCE POINT PKWY STE 500
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:GA
Practice Address - Zip Code:30114-9113
Practice Address - Country:US
Practice Address - Phone:770-479-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0132761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry