Shelly Mixson is a Dental Clinic in Austell, Georgia. It is located at 1133 E West Connector, Austell, GA and its contact number is 770-333-9951. The authorized person for Shelly Mixson is Dr. Shelly Mixson
who is Owner of the clinic and their contact number is 770-333-9951. The primary license number for Shelly Mixson is DN012436 (General Practice) in Georgia. Shelly Mixson Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Shelly Mixson Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Shelly Mixson
Specialization:
General Practice Dentistry
Clinic Address:
1133 E West Connector, Austell, Georgia, 30106-1589
Phone:
770-333-9951
Fax:
770-333-9953
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Shelly Mixson
Position:
Owner
Contact Number:
770-333-9951
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Shelly Mixson clinic are as mentioned below.
NPI Number:
1861664880
NPI Enumeration Date:
31 Mar, 2008
NPI Last Update On:
31 Mar, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Shelly Mixson are as mentioned below.
Specialization
License Number
State
Status
General Practice
DN012436
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
101592
Other
Georgia
Avesis
9185964
Other
Georgia
Doral
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Shelly Mixson 1133 E West Connector, Austell, Georgia
Zip:
30106-1589
Phone Number:
770-333-9951
Fax Number:
770-333-9953
Patients can reach Shelly Mixson at 1133 E West Connector, Austell, Georgia or can call to book an appointment on 770-333-9951. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.