Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245127331 Individual Practitioner Female Practitioner

Dr. Mary C Nixon , DDS

Dentist - General Practice • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Dr. Mary Nixon, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tyler, TX. Practice services are available at 5540 OLD JACKSONVILLE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5540 Old Jacksonville Hwy

Tyler, TX 757033378

Telephone 9035972121
Associated Practice Facility / Clinic
🏢 Kent B Boozer Dds Pa Facility NPI 1508046129

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
84 Specialists

Practicing in Tyler, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 41468

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Donna Gordon Lindsey , DDS

Dentist - General Practice

NPI 1053321778

Doctor of Dental Surgery

Dr. Aimee Massey , DDS

Dentist - General Practice

NPI 1427258573

Doctor of Dental Surgery

Dr. Blaire Miers , DDS

Dentist - General Practice

NPI 1437564887

Doctor of Dental Surgery

Dr. Bethany Flanders , DDS

Dentist - General Practice

NPI 1447703053

Doctor of Dental Surgery

Dr. Kent Boozer , DDS

Dentist - Pediatric Dentistry

NPI 1578502878

Doctor of Dental Surgery

NPI 1851346852

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address April 27, 2026

Registered at 1301 ROSELAND BLVD, TYLER, TX 757013120 (Tel: 9038059767)

👤
Provider Name / Credentials Updated April 27, 2026

Recorded as MARY NIXON, DDS

NPI Profile Active June 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2025

Registered at 5540 OLD JACKSONVILLE HWY, TYLER, TX 757033378 (Tel: 9035972121)

📍
Updated Business Mailing Address June 20, 2025

Registered at 4055 HOGAN DR APT 3707, TYLER, TX 757096964 (Tel: 9038059767)

👤
Provider Name / Credentials Updated June 20, 2025

Recorded as MARY WALLACE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2025

Dentist (License #41468 in TX)

🟢
Initial NPI Registration & Enumeration June 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245127331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2025
Last Update: April 27, 2026
Sole Proprietor: No

Mailing Address

1301 Roseland Blvd

Tyler, TX 757013120

Phone: 9038059767

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.