| Alicia Mize Rix, Dmd Pc | |
|
57 Three Rivers Dr Ne Rome GA 30161-4998 | |
| (706) 235-4723 | |
| (706) 295-2552 |
| Full Name | Alicia Mize Rix, Dmd Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 57 Three Rivers Dr Ne, Rome, Georgia |
| Authorized Official Name and Position | Alicia Mize Rix (PRESIDENT) |
| Authorized Official Contact | 7062354723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Mize Rix, Dmd Pc 57 Three Rivers Dr Ne Rome GA 30161-4998 Ph: (706) 235-4723 | Alicia Mize Rix, Dmd Pc 57 Three Rivers Dr Ne Rome GA 30161-4998 Ph: (706) 235-4723 |
| NPI Number | 1821109919 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821109919 | NPI | - | NPPES |
| 011053 | Other | GA | DENTAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 011053 (Georgia) | Primary |
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