Provider Demographics
NPI:1013177617
Name:NIXON, DANIEL EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EARL
Last Name:NIXON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 WEST KINGLSEY ROAD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-4218
Mailing Address - Country:US
Mailing Address - Phone:972-271-7111
Mailing Address - Fax:
Practice Address - Street 1:1606 WEST KINGLSEY ROAD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-4218
Practice Address - Country:US
Practice Address - Phone:972-271-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX137861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice