MICHELE LYNN BLOXSON DDS NPI 1003804303

NPI Information

NPI: 1003804303
Provider Name: MICHELE LYNN BLOXSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
4257 W 3RD ST
DAYTON, OH
ZIP 45417
Phone: (937) 268-1665
Get Directions

Michele Lynn Bloxson, DDS is a general practice dentist in Dayton, OH. The provider is 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. Michele Lynn Bloxson, DDS NPI is 1003804303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4257 W 3RD ST
DAYTON, OH
ZIP 45417-406
Phone: (937) 268-1665

The NPI 1003804303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/11/2005 and was last updated on 3/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2901018969	MICHIGAN	No
2	1223G0001X	Dentist	General Practice	30-022714	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	88123MI	OTHER		BAYSIDE
2	4667047	MEDICAID	MICHIGAN
3	D801095	OTHER		BLUE CROSS
4	88170MI	OTHER		OUTER DRIVE
5	88096MI	OTHER		WADSWORTH
6	1635834	OTHER		UNITED CONCORDIA
7	381908328020	OTHER		DENTAL BLUE
8	88171MI	OTHER		COMMERCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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