Provider Demographics
NPI:1447356720
Name:DIXON, ROBERT H (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:DIXON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 YORK ST
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530-2721
Mailing Address - Country:US
Mailing Address - Phone:207-443-4511
Mailing Address - Fax:207-443-5784
Practice Address - Street 1:20 YORK ST
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530-2721
Practice Address - Country:US
Practice Address - Phone:207-443-4511
Practice Address - Fax:207-493-5784
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME6933207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME002121OtherBCBS
ME152631Medicare ID - Type UnspecifiedGROUP
ME002121OtherBCBS
C66526Medicare UPIN