Provider Demographics
NPI:1679396485
Name:AFFORDABLE DENTURES & IMPLANTS - HIXSON, P.C.
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS - HIXSON, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:423-904-5248
Mailing Address - Street 1:5724 HIGHWAY 153 STE C
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3792
Mailing Address - Country:US
Mailing Address - Phone:423-904-5248
Mailing Address - Fax:
Practice Address - Street 1:5724 HIGHWAY 153 STE C
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3792
Practice Address - Country:US
Practice Address - Phone:423-904-5248
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty