Provider Demographics
NPI:1306955513
Name:BARRON W. HIXON, DDS, LLC
Entity type:Organization
Organization Name:BARRON W. HIXON, DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARRON
Authorized Official - Middle Name:W
Authorized Official - Last Name:HIXON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-378-4848
Mailing Address - Street 1:252 SPRING MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45121-1164
Mailing Address - Country:US
Mailing Address - Phone:937-378-2763
Mailing Address - Fax:
Practice Address - Street 1:444 HOME ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:OH
Practice Address - Zip Code:45121-1408
Practice Address - Country:US
Practice Address - Phone:937-378-4848
Practice Address - Fax:937-378-0161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty