Bloxson, Michele Lynn

Bloxson, Michele Lynn is an individual health care provider with primary practice located at 4257 W 3Rd St , Dayton OH 45417-1406. She recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Bloxson, Michele Lynn can be contacted via phone (937) 268-1665.

Contact Information

Primary practice address
4257 W 3Rd St Dayton OH 45417-1406
Phone: (937) 268-1665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 2901018969 Michigan
Dental Providers / General Practice 1223G0001X 30-022714 Ohio

Profile Details

NPI number 1003804303
LBN Legal business name Bloxson, Michele Lynn
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Mar 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003804303 NPPES
Other 1635834 UNITED CONCORDIA
Other 88123MI UNITED CONCORDIA
Other D801095 UNITED CONCORDIA
Other 88096MI UNITED CONCORDIA
Other 88170MI UNITED CONCORDIA
Other 88171MI UNITED CONCORDIA
Other 381908328020 UNITED CONCORDIA
MEDICAID 4667047 UNITED CONCORDIA

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