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Organization
TRAVIS L. NIXON, DDS, PA
Active
Organization
TRAVIS L. NIXON, DDS, PA
Active
Other names
Christmastown Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS NIXON DDS (OWNER/DENTIST)
(704) 824-4311
Entity
Organization
Contact information
Practice address
309 WESLEYAN DR, GASTONIA, NC 28056-9492
(704) 824-4311
(704) 879-4137
Mailing address
309 WESLEYAN DR, GASTONIA, NC 28056-9492
(704) 824-4311
(704) 879-4137
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
7186
NC
1223G0001X
General Practice Dentistry
Primary
7471
NC
1223G0001X
General Practice Dentistry
9680
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901727
—
NC
Enumeration date
06/22/2017
Last updated
07/21/2022
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