MEDICARE: DR. ERIC HAMILTON DIXON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	48902	CA

General Provider Information

NPI Number	:	1528398963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC HAMILTON DIXON DDS

Provider Business Mailing Address
First Line	:	6101 VILLAGE WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2593
Country	:	US
Telephone Number	:	858-452-7272
Fax Number	:	858-452-6022

Provider Business Practice Location Address
First Line	:	6101 VILLAGE WAY
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-2593
Country	:	US
Telephone Number	:	858-452-7272
Fax Number	:	858-452-6022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2010
Last Update Date	:	02/03/2026

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