Active NPIIndividual provider

Kristin L Mix, DMD

Dentist, General Practice in Concord, Massachusetts

NPI Number1508883240
Practice location
290 Baker Ave, South 102, Concord, MA 01742
Fax
978-369-2341
Last updated
September 1, 2007

Kristin L Mix is a Dentist, General Practice based in Concord, MA. Kristin L Mix practices in Concord, MA and has the professional credentials of DMD. The NPI Number for Kristin L Mix is 1508883240 and holds a License No. 17167 (MA). The current practice location address for Kristin L Mix is 290 Baker Ave, South 102, Concord, MA 01742 and can be reached out via phone at 978-369-4808 and via fax at 978-369-2341.

Provider Profile Details

NPI Number
1508883240
Provider Name
Kristin L Mix
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
290 Baker Ave, South 102, Concord, MA 01742
Phone Number
978-369-4808
Fax Number
978-369-2341
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2006
Last Update Date
September 1, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
290 Baker Ave
South 102
Concord, MA 01742
Zip
01742
Phone Number
978-369-4808
Fax Number
978-369-2341
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
290 Baker Ave
South 102
Concord, MA 01742
City
Concord
State
MA
Zip
01742
Phone Number
978-369-4808
Fax Number
978-369-2341

License Information

License Number
17167
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristin L Mix, DMD?

The NPI number of Kristin L Mix, DMD is 1508883240. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Kristin L Mix, DMD?

Kristin L Mix, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17167.

Where does Kristin L Mix, DMD practice?

The practice location is 290 Baker Ave, South 102, Concord, MA 01742. The office can be reached at 978-369-4808 (phone) or 978-369-2341 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508883240 directly on the NPPES registry website.

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