Provider Demographics
NPI:1942361068
Name:PAXTON, ALLISON LINDSAY (DDS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:LINDSAY
Last Name:PAXTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1796 OAK ST.
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559
Mailing Address - Country:US
Mailing Address - Phone:707-224-3121
Mailing Address - Fax:707-224-0980
Practice Address - Street 1:1796 OAK ST
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-2831
Practice Address - Country:US
Practice Address - Phone:707-224-3121
Practice Address - Fax:707-224-0980
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA515001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice