# JOHN D HIXSON DDS PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891888640
- **Authorized official:** DR. JOHN DAVID HIXSON DDS (PRESIDENT/OWNER)
- **Authorized official phone:** (360) 659-1223

## Contact information

- **Practice address:** 7825 47TH AVE NE, MARYSVILLE, WA 98270-3732
- **Practice address phone:** (360) 659-1223
- **Practice address fax:** (360) 653-3545
- **Mailing address:** 7825 47TH AVE NE, MARYSVILLE, WA 98270-3732
- **Mailing address phone:** (360) 659-1223
- **Mailing address fax:** (360) 653-3545

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6367 | WA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5031471 | — | WA |