Healthcare Provider Details

I. General information

NPI: 1033038245
Provider Name (Legal Business Name): DIXON FAMILY DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 CANAL AVE SE STE A
NEW PHILADELPHIA OH
44663-2359
US

IV. Provider business mailing address

313 CANAL AVE SE STE A
NEW PHILADELPHIA OH
44663-2359
US

V. Phone/Fax

Practice location:
  • Phone: 330-339-3354
  • Fax: 330-339-7779
Mailing address:
  • Phone: 330-339-3354
  • Fax: 330-339-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: CALLIANNIE DIXON REIDENBACH
Title or Position: DENTIST
Credential: DMD
Phone: 330-339-3354