Provider Demographics
NPI:1932207412
Name:HIXON, BARRON W (DDS)
Entity Type:Individual
Prefix:
First Name:BARRON
Middle Name:W
Last Name:HIXON
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 1:252 SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1164
Mailing Address - Country:US
Mailing Address - Phone:937-378-2763
Mailing Address - Fax:
Practice Address - Street 1:444 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1408
Practice Address - Country:US
Practice Address - Phone:937-378-4848
Practice Address - Fax:937-378-0161
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice