Individual provider · Type 1 NPI
John L. Mixer, DDS
Oral and Maxillofacial Surgery (Dentist) · Muskegon, MI
NPI number
1689643777
Active
Practice location
1150 E Sherman Blvd, Suite 1600
Muskegon, MI 49444-1871
Fax (231) 733-5228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901011411 (MI) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2901011411 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1689643777
John L. Mixer, DDS's National Provider Identifier is 1689643777, issued on Mar 14, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Muskegon, MI. The record was last updated on Jan 26, 2010.