Michele Lynn Bloxson
Dentist - General Practice Oral and Maxillofacial Surgeon
4257 W 3rd St
Dayton
, Ohio 45417-1406
Michele Lynn Bloxson
Dentist - General Practice Oral and Maxillofacial Surgeon
4257 W 3rd St
Dayton
, Ohio 45417-1406
(719) 584-7694
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About
Features
Specialties
- General Practice
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Michele Lynn Bloxson
- 415 N Grand Ave
- Pueblo, CO
- Zip : 81003-3111
- Fax : (719) 584-7694
- Phone : (719) 562-4461
Second Address
- Michele Lynn Bloxson
- 4257 W 3rd St
- Dayton, OH
- Zip : 45417-1406
- Phone : (937) 268-1665
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 30-022714 | OH |
| Y | 213EG0000X | General Practice | 30-022714 | OH |
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 2901018969 | MI |
National Provider Identifier
| NPI | 1003804303 |
|---|---|
| Provider Name | Michele Lynn Bloxson |
| First Address | Pueblo, CO 81003-3111 |
| Second Address | Dayton, OH 45417-1406 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2005 |
| Last Update Date | 19/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1635834 | UNITED CONCORDIA (01) | |
| 381908328020 | DENTAL BLUE (01) | |
| 4667047 | (05) | MI |
| 88096MI | WADSWORTH (01) | |
| 88123MI | BAYSIDE (01) | |
| 88170MI | OUTER DRIVE (01) | |
| 88171MI | COMMERCE (01) | |
| D801095 | BLUE CROSS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.