Mixon, Robert N

Mixon, Robert N is an individual health care provider with primary practice located at 5209 Sw 91St Dr , Gainesville FL 32608-3028. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Mixon, Robert N can be contacted via phone (352) 335-7777.

Contact Information

Primary practice address
5209 Sw 91St Dr Gainesville FL 32608-3028
Phone: (352) 335-7777
Fax: (352) 371-3430
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN0014057 Florida

Profile Details

NPI number 1770664021
LBN Legal business name Mixon, Robert N
Credentials D.M.D., PA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 31st, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770664021 NPPES
Florida MEDICAID 071755000
Florida Other 36580
Florida Other 986885

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