Organization
HIXSON DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY F MULLINAX D.D.S. (PRESIDENT)
(423) 843-0418
Entity
Organization
Contact information
Practice address
6012A HIXSON PIKE, HIXSON, TN 37343-3032
(423) 843-0418
(423) 842-7362
Mailing address
6012A HIXSON PIKE, HIXSON, TN 37343-3032
(423) 843-0418
(423) 842-7362
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
TN2248
TN
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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