Individual
LINDA J HIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 E RIVER RD, BELEN, NM 87002-7429
(505) 864-6969
(505) 864-9310
Mailing address
PO BOX 138, BELEN, NM 87002-0138
(505) 864-6969
(505) 864-9310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD1799
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87474
—
NM
Enumeration date
11/10/2005
Last updated
07/24/2012
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