Provider Demographics
NPI:1215945167
Name:NIXON, ELIZABETH C (DDS)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:C
Last Name:NIXON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:C
Other - Last Name:NIXON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:3201 SW 34 AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474
Mailing Address - Country:US
Mailing Address - Phone:352-237-1202
Mailing Address - Fax:352-237-7722
Practice Address - Street 1:3201 SW 34 AVE
Practice Address - Street 2:STE 204
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474
Practice Address - Country:US
Practice Address - Phone:352-237-1202
Practice Address - Fax:352-237-7722
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN147691223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics