Kristopher G Mixon, D.M.D.
Dentist, General Practice in Macon, GA. Individual provider (NPI-1).
NPI number1154419620
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154419620
- Entity type
- Individual (NPI-1)
- Name
- Kristopher G Mixon
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13000 | GA | Yes |
Practice location
3432 Mercer University DrMacon, GA 31204-4902
Phone 478-755-8366 · Fax 478-755-8399
Mailing address
3432 Mercer University DrMacon, GA 31204-4902
Phone 478-755-8366 · Fax 478-755-8399
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All 81 General Practice Dentistry providers in Macon · All 5,121 providers in Macon
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