Organization
JOHN D HIXSON DDS PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID HIXSON DDS (PRESIDENT/OWNER)
(360) 659-1223
Entity
Organization
Contact information
Practice address
7825 47TH AVE NE, MARYSVILLE, WA 98270-3732
(360) 659-1223
(360) 653-3545
Mailing address
7825 47TH AVE NE, MARYSVILLE, WA 98270-3732
(360) 659-1223
(360) 653-3545
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6367
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5031471
—
WA
Enumeration date
10/02/2006
Last updated
08/22/2020
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