DR. FREDRICO ALBERT DIXON III (NPI# 1396820775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396820775 |
| Entity Type | Individual |
| Full Name | DR. FREDRICO ALBERT DIXON III |
| Credential | DDS |
| Practice Address |
7218 Highway 85 Riverdale GA 30274-2908 |
| Practice Telephone | 4045933404 |
| Practice Fax Number | 4042289673 |
| Mailing Telephone | 4045933404 |
| Mailing Fax Number | 4042289673 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-05-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN014566 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 510DN | 01 |
| GA | 003134944F | 05 | |
| TN | BLUE CROSS/BLUE SHIELD | 4127424 | 01 |
| Street Address |
7218 HIGHWAY 85 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30274-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528422524 | Government Dental LLC | Dentist | 7218 Highway 85, Riverdale, GA 30274-2908 | 2016-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245862507 | Todd L. Reed | Chiropractor | 83 Upper Riverdale Rd, Riverdale, GA 30274 | 2020-02-05 |
| 1487135992 | Freddie L Sallette IIi | Technician, Pathology | 385 Brookview Dr, Riverdale, GA 30274 | 2018-08-22 |
| 1366933210 | Dawn A. Paul | Nurse Practitioner | 238 Professional Ct Ste A, Riverdale, GA 30274 | 2018-05-27 |
| 1851894588 | Absolute Health Family & Urgent Care Clinic | Clinic/Center | 7574 Ga 85, Riverdale, GA 30274 | 2018-03-08 |
| 1366972127 | Jamillah Ingram | Physical Therapy Assistant | 315 Upper Riverdale Rd., Riverdale, GA 30274 | 2017-06-14 |
| 1114456514 | Grace L Kelson | Licensed Practical Nurse | 9142 Clubhouse Dr, Riverdale, GA 30274 | 2017-06-08 |
| 1790167799 | Cristian Carbuccia | Internal Medicine | 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 | 2015-06-25 |
| 1265857692 | Right Choice Enterprises LLC | Technician | 638 Sterling Ct, Riverdale, GA 30274 | 2014-02-21 |
| 1942571625 | Lowes Guardian Angel LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7056 Eunice Dr., Riverdale, GA 30274 | 2012-01-26 |
| 1508134156 | Education System Management, Inc | Social Worker | 125 Highway 138, Riverdale, GA 30274 | 2011-12-12 |
| Find all providers in zip 30274 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427445204 | Paul M Hertz Dmd LLC | Dentist | 6011 Riverdale Avenue, Riverdale, NY 10471 | 2015-04-20 |
| 1508134842 | Sookie Hwang | Dentist | 51 State Rt 23 Ste 1, Riverdale, NJ 07457-1625 | 2011-12-01 |
| 1093012205 | Maranatha Weir Group | Dentist | 5711 Sarvis Ave Ste 502, Riverdale, MD 20737-1366 | 2011-02-24 |
| 1295908614 | Daniel Redie General Dentistry | Dentist | 1849 Highway 138 Sw, Riverdale, GA 30296-1812 | 2008-04-07 |
| 1588871115 | Terry L Mcculloch | Dentist | 7557 Hwy 85, Riverdale, GA 30274 | 2007-05-16 |
| 1174744148 | Peter Louis Calomeris | Dentist | 6201 Baltimore Ave, Riverdale, MD 20737-1020 | 2007-05-01 |
| 1134251648 | Smiles Dental Lab, Inc. | Dentist | 6030 Highway 85 Ste 240, Riverdale, GA 30274-1535 | 2007-03-10 |
| 1104968304 | Ivanhoe Dental Group, Ltd. | Dentist | 61 W 144th St, Riverdale, IL 60827-2850 | 2007-02-13 |
| 1457491771 | Donald C. Bogert Jr. | Dentist | 27 Newark Pompton Tpke, Riverdale, NJ 07457-1143 | 2007-02-07 |
| 1457432312 | Kashia Figueroa | Dentist | 6200 Baltimore Ave, Suite 200, Riverdale, MD 20737-1054 | 2006-10-18 |
| Find all providers in RIVERDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.