Dental Board of California
Licensing details for: 62300
Name: DIXON, CHRISTOPHER LEE
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: CHRISTOPHER L DIXON, DDS
License/Registration Type: Additional Office Permit
License Number: 79131 Primary Status: Cancelled
Address :
US MARINE CORPS BASE LIBRARY
555020 BLDG #1377
CAMP PENDLETON CA 92055
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: CHRISTOPHER L DIXON, DDS
License/Registration Type: Additional Office Permit
License Number: 79122 Primary Status: Cancelled
Address :
1755 Erringer Rd
#20
SIMI VALLEY CA 93065-6507
VENTURA COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PEAK PEDIATRIC DENTISTRY, DENTAL PRACTICE OF CHRISTOPHER DIXON, DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12981 Primary Status: Current - Active
Address :
3144 EL CAMINO REAL, SUITE 102
CARLSBAD CA 92008
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PEAK PEDIATRIC DENTISTRY, DENTAL PRACTICE OF CHRISTOPHER DIXON, DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 12981 Primary Status: Current - Active
Address :
3144 EL CAMINO REAL, SUITE 102
CARLSBAD CA 92008
SAN DIEGO COUNTY
OCS to DDS, OMS, or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Oral Conscious Sedation Certificate
Name: DIXON, CHRISTOPHER LEE
License/Registration Type: Oral Conscious Sedation Certificate
License Number: 2980 Primary Status: Cancelled
Address :
3144 El Camino Real
#102
CARLSBAD CA 92008-2194
SAN DIEGO COUNTY
PMS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Pediatric Minimal Sedation Permit
Name: DIXON, CHRISTOPHER LEE
License/Registration Type: Pediatric Minimal Sedation Permit
License Number: 30 Primary Status: Current - Active
Address :
3144 EL CAMINO REAL #102
CARLSBAD CA 92008
SAN DIEGO COUNTY
