Dr. Mary C Nixon, DDS
Dentist, General Practice in Tyler, TX. Individual provider (NPI-1).
NPI number1245127331
StatusActive
Last updated in NPPESApr 27, 2026
Details
- NPI
- 1245127331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mary C Nixon
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2025
- Certification date
- Apr 27, 2026
- Last updated
- Apr 27, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 41468 | TX | Yes |
Practice location
5540 Old Jacksonville HwyTyler, TX 75703-3378
Phone 903-597-2121
Mailing address
1301 Roseland BlvdTyler, TX 75701-3120
Phone 903-805-9767
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