Provider Demographics
NPI:1467645366
Name:DIXON, JOY W (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:W
Last Name:DIXON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 INDIA HOOK RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3530
Mailing Address - Country:US
Mailing Address - Phone:803-328-8004
Mailing Address - Fax:
Practice Address - Street 1:2460 INDIA HOOK RD
Practice Address - Street 2:SUITE 207
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3530
Practice Address - Country:US
Practice Address - Phone:803-328-8004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC42161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice