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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.