| Hixson Pediatric Dentistry Pllc | |
|
5470 Hixson Pike Ste A Hixson TN 37343-3299 | |
| (423) 842-0165 | |
| (423) 842-7614 |
| Full Name | Hixson Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5470 Hixson Pike Ste A, Hixson, Tennessee |
| Authorized Official Name and Position | Hugh D Vice (SENIOR PARTNER) |
| Authorized Official Contact | 4238420165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hixson Pediatric Dentistry Pllc 5470 Hixson Pike Ste A Hixson TN 37343-3299 Ph: (423) 842-0165 | Hixson Pediatric Dentistry Pllc 5470 Hixson Pike Ste A Hixson TN 37343-3299 Ph: (423) 842-0165 |
| NPI Number | 1063814838 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 09/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063814838 | NPI | - | NPPES |
| 1033370853 | Other | PERSONAL NPI | |
| DS0000004055 | Other | TN | DENTAL LICENSE |
| DS0000009112 | Other | TN | DENTAL LICENSE |
| 000338082B | Medicaid | GA | |
| 003126147A | Medicaid | GA | |
| 1528610 | Medicaid | TN | |
| 219618537A | Medicaid | GA | |
| 1529061 | Medicaid | TN | |
| DN014567 | Other | GA | DENTAL LICENSE |
| 1548273212 | Other | PERSONAL NPI | |
| 1851382592 | Other | PERSONAL NPI | |
| 1527928 | Medicaid | TN | |
| DS0000005135 | Other | TN | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS0000004055 (Tennessee) | Primary |
Don F. Flanagan Dds Ms Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 Executive Dr, Suite 105, Hixson, TN 37343 Phone: 423-877-1286 | |
Premier Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1963 Northpoint Blvd, Suite 113, Hixson, TN 37343 Phone: 423-551-3373 | |
E. M. Hammon, Jr., D. D.s., P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 4841 Hixson Pike, Suite E, Hixson, TN 37343 Phone: 423-877-5242 Fax: 423-877-5261 | |
Standifer Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1724 Hamill Rd, Suite 202, Hixson, TN 37343 Phone: 423-877-6485 | |
Brian Webb Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4803 Hixson Pike Ste 101, Hixson, TN 37343 Phone: 423-870-5254 | |
True Dental Of Hixson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4513 Hixson Pike Ste 103, Hixson, TN 37343 Phone: 423-875-6778 Fax: 423-875-6779 |