Individual
DR. JAMES MCKINNON MIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-6885
(816) 404-6903
Mailing address
12711 GLENFIELD RD, LEAWOOD, KS 66209-1728
(816) 404-6885
(816) 404-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13052
MO
1223G0001X
General Practice Dentistry
5693
KS
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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