Provider Demographics
NPI:1528398963
Name:DIXON, ERIC HAMILTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HAMILTON
Last Name:DIXON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5627 OBERLIN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-3748
Mailing Address - Country:US
Mailing Address - Phone:858-452-7272
Mailing Address - Fax:858-452-6022
Practice Address - Street 1:5627 OBERLIN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92121-3748
Practice Address - Country:US
Practice Address - Phone:858-452-7272
Practice Address - Fax:858-452-6022
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA489021223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry