| Shelly Mixson | |
|
1133 E West Connector Austell GA 30106-1589 | |
| (770) 333-9951 | |
| (770) 333-9953 |
| Full Name | Shelly Mixson |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1133 E West Connector, Austell, Georgia |
| Authorized Official Name and Position | Shelly Mixson (OWNER) |
| Authorized Official Contact | 7703339951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelly Mixson 1133 E West Connector Austell GA 30106-1589 Ph: (770) 333-9951 | Shelly Mixson 1133 E West Connector Austell GA 30106-1589 Ph: (770) 333-9951 |
| NPI Number | 1861664880 |
|---|---|
| Provider Enumeration Date | 03/31/2008 |
| Last Update Date | 03/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861664880 | NPI | - | NPPES |
| 101592 | Other | GA | AVESIS |
| 9185964 | Other | GA | DORAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012436 (Georgia) | Primary |
Austell Smiles Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3999 Austell Rd, Suite 211, Austell, GA 30106 Phone: 770-732-3364 Fax: 770-732-3362 | |
Austell Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 East West Connector Sw, Suite 108, Austell, GA 30106 Phone: 678-271-3706 | |
West Atlanta Endodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1790 Mulkey Rd, Suite 2, Austell, GA 30106 Phone: 770-944-8822 Fax: 770-944-0459 | |
Childrens Dentistry Of Austell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1678 Mulkey Rd, Ste D, Austell, GA 30106 Phone: 678-445-5444 Fax: 678-445-5552 | |
East West Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2495 East-west Connector, Ste 60, Austell, GA 30106 Phone: 678-384-1020 | |
Marnita Stevenson Dmd Holdings, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1680 E West Connector Ste 112, Austell, GA 30106 Phone: 770-742-6330 | |
Grassroots Health, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Austell Powder Springs Rd, Suite 273, Austell, GA 30106 Phone: 678-398-6548 Fax: 678-398-6550 |