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Michele Lynn Bloxson, DDS
General Practice Dentistry in Dayton, Ohio
NPI 1003804303

Michele Lynn Bloxson is a General Practice Dentistry based in Pueblo, OH and is specialized in General Practice. Michele Lynn Bloxson practices in Dayton, OH and has the professional credentials of DDS. The NPI Number for Michele Lynn Bloxson is 1003804303 and holds a License No. 2901018969 (Ohio).

The current practice location address for Michele Lynn Bloxson is 4257 W 3Rd St, Dayton, OH and can be reached out via phone at 937-268-1665. You can also correspond with Michele Lynn Bloxson through the mailing address at 415 N GRAND AVE, PUEBLO, CO - 81003-3111 (mailing address contact number: 719-562-4461).

Location: 4257 W 3Rd St, Dayton, OH, 81003-3111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003804303
Provider Name
Michele Lynn Bloxson
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
4257 W 3Rd St, Dayton, OH, 81003-3111
Phone Number
937-268-1665
Fax Number
Provider Enumeration Date
10/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1635834 01 UNITED CONCORDIA
88123MI 01 BAYSIDE
D801095 01 BLUE CROSS
88096MI 01 WADSWORTH
88170MI 01 OUTER DRIVE
88171MI 01 COMMERCE
381908328020 01 DENTAL BLUE
4667047 05 MI
institution
Provider Business Practice Location Address Details
Address
4257 W 3Rd St
City
Dayton
State
Ohio
Zip
45417-1406
Phone Number
937-268-1665
Fax Number
person
Provider Business Mailing Address Details
Address
415 N Grand Ave
City
Pueblo
State
Colorado
Zip
81003-3111
Phone Number
719-562-4461
Fax Number
719-584-7694
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
30-022714 (Ohio)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
2901018969 (Michigan)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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