Hixson Pediatric Dentistry Pllc
LBN: Hixson Pediatric Dentistry Pllc
Hixson Pediatric Dentistry Pllc is an health care organization with primary practice located at 5470 Hixson Pike Ste A , Hixson TN 37343-3299. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Hixson Pediatric Dentistry Pllc can be contacted via phone (423) 842-0165, or through Vice, Hugh D via phone (423) 842-0165.
Contact Information
Primary practice address
5470 Hixson Pike Ste A
Hixson TN 37343-3299
Phone: (423) 842-0165
Fax: (423) 842-7614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | DS0000004055 | Tennessee |
Profile Details
| NPI number | 1063814838 |
|---|---|
| LBN Legal business name | Hixson Pediatric Dentistry Pllc |
| DBA Doing business as | |
| Authorized official | Vice, Hugh D D.D.S.,M.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 23rd, 2014 |
| Last updated | Sep 23rd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063814838 | NPPES |
| Other | 1033370853 | PERSONAL NPI | |
| Other | DS0000004055 | PERSONAL NPI | |
| Other | DS0000009112 | PERSONAL NPI | |
| MEDICAID | 000338082B | PERSONAL NPI | |
| MEDICAID | 003126147A | PERSONAL NPI | |
| MEDICAID | 1528610 | PERSONAL NPI | |
| MEDICAID | 219618537A | PERSONAL NPI | |
| MEDICAID | 1529061 | PERSONAL NPI | |
| Other | DN014567 | PERSONAL NPI | |
| Other | 1548273212 | PERSONAL NPI | |
| Other | 1851382592 | PERSONAL NPI | |
| MEDICAID | 1527928 | PERSONAL NPI | |
| Other | DS0000005135 | PERSONAL NPI |
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