Robert N Mixon in Gainesville - Pediatric Dentistry

Robert N Mixon - NPI 1770664021

Robert N Mixon is a Pediatric Dentistry in Gainesville, Florida. Robert N Mixon practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Robert N Mixon is 1770664021. The last update date is 2009-07-31.

Robert N Mixon's current location address is 5209 Sw 91st Dr, Gainesville, Florida. You can contact this provider via phone number 3523357777 and fax number 3523713430. The mailing address for Robert N Mixon is 5209 Sw 91st Dr, Gainesville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert N Mixon
Address 5209 Sw 91st Dr, Gainesville, Florida
Phone Number 3523357777
Fax Number 3523713430
Sole Proprietor N
Credentials D.M.D., PA

NPI Number Detail

NPI Number 1770664021
Provider Enumeration Date 2006-10-17
Last Updated Date 2009-07-31

Provider Mailing Address Detail

Address 5209 Sw 91st Dr
City Gainesville
State Florida (FL)
Post Code 326083028
Phone Number 3523357777
Fax Number 3523713430

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No DN0014057
Definition:
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
71755000 FL --
36580 FL BLUE CROSS BLUE SHIELD
986885 FL UNITED CONCORDIA

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FAQs about Robert N Mixon

What is the unique 10-digit identification code issued to Robert N Mixon by the Centers for Medicare & Medicaid Services?

The Robert N Mixon has been assigned the NPI (National Provider Identifier) 1770664021 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Robert N Mixon?

The Robert N Mixon is situated at 5209 Sw 91St Dr, in the city of Gainesville, state of FL, with the zip code 326083028.

What is Robert N Mixon's specialized field of practice, and what is the corresponding taxonomy classification code?

The Robert N Mixon's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When did Robert N Mixon receive its 1770664021 assignment?

The Robert N Mixon was assigned its 1770664021 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Robert N Mixon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Robert N Mixon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-07-31.

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