Individual
DR. DANIEL ALAN NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173
(205) 655-5144
(205) 655-2566
Mailing address
5750 BENTLEY WAY, TRUSSVILLE, AL 35173
(205) 655-5144
(205) 655-2566
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5056
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009946890
—
AL
01
—
515-00457
BCBS PROVIDER NUMBER
AL
01
—
631260994
TAX IDENTIFICATION NUMBER
AL
01
—
667077
UNITED CONCORDIA
AL
Enumeration date
10/12/2006
Last updated
07/08/2011
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