Alan Lawrence Nix, D.D.S.

Individual provider Active NPI General Practice Dentistry · Terrell, TX

NPI 1770633281 · NPPES record last updated Oct 16, 2012

Key facts

NPI
1770633281
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12043 (TX)
Practice address
101 E High St
Terrell, TX 75160-2644
Phone
(972) 563-7633
Fax
(972) 551-0840
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12043TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JMC Dental PLLC Past
since Sep 6, 2020
Accepting new patients
Abc Dental PLLC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12043 TX Yes

Addresses

Primary practice location

101 E High St
Terrell, TX 75160-2644

Mailing address

101 E High St
Terrell, TX 75160-2644
Phone (972) 563-7633

Other identifiers

IdentifierTypeStateIssuer
198096301MedicaidTX

Other providers in Terrell, TX

All providers in Terrell, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.