Provider Demographics
NPI:1326226036
Name:DR DANIEL HIXON
Entity Type:Organization
Organization Name:DR DANIEL HIXON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HIXON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-889-8202
Mailing Address - Street 1:3515 CENTRAL PIKE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-2029
Mailing Address - Country:US
Mailing Address - Phone:615-889-8202
Mailing Address - Fax:615-883-8565
Practice Address - Street 1:3515 CENTRAL PIKE
Practice Address - Street 2:SUITE 204
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2029
Practice Address - Country:US
Practice Address - Phone:615-889-8202
Practice Address - Fax:615-883-8565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty