MICHELE LYNN BLOXSON (NPI# 1003804303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003804303 |
| Entity Type | Individual |
| Full Name | MICHELE LYNN BLOXSON |
| Credential | DDS |
| Practice Address |
4257 W 3rd St Dayton OH 45417-1406 |
| Mailing Address |
415 N Grand Ave Pueblo CO 81003-3111 |
| Practice Telephone | 9372681665 |
| Mailing Telephone | 7195624461 |
| Mailing Fax Number | 7195847694 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2008-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-022714 | OH | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2901018969 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DENTAL BLUE | 381908328020 | 01 | |
| COMMERCE | 88171MI | 01 | |
| BAYSIDE | 88123MI | 01 | |
| UNITED CONCORDIA | 1635834 | 01 | |
| MI | 4667047 | 05 | |
| WADSWORTH | 88096MI | 01 | |
| OUTER DRIVE | 88170MI | 01 | |
| BLUE CROSS | D801095 | 01 |
| Street Address |
4257 W 3RD ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-1406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194200717 | Kids Dental of Dayton-joan-florence Besana Salido Dds Inc | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2018-09-28 |
| 1215336912 | Dayton Childrens Dental Center, LLC | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2014-08-19 |
| 1861576563 | Vasudha Basava | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2006-10-25 |
| 1417063330 | Jodi Lynn Mrozinski | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2006-08-22 |
| 1902854342 | Daniel E Bell | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2006-05-05 |
| 1356399794 | Amber N Wright | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2006-05-05 |
| 1891743639 | Dayton Smiles Youth Dentistry LLC Elizabeth Geier, Dmd | Dentist | 4257 W 3rd St, Dayton, OH 45417-1406 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687692 | Julianne Fanny Avrutik | Dentist | 395 Ridge Rd Ste 5, Dayton, NJ 08810-1398 | 2019-09-09 |
| 1407414527 | Punyawat Laohakanjanasiri | Dentist | Dayton Va Medical Center/dental Services, 4100 W Third, Dayton, OH 45428 | 2019-06-04 |
| 1649765876 | Ryan Conner Tutor | Dentist | 225 Main St Ste 400, Dayton, TN 37321-1329 | 2018-06-29 |
| 1043765985 | Supriya Sharma | Dentist | 2411 Miamisburg Centerville Rd, Dayton, OH 45459-3723 | 2016-08-21 |
| 1871930396 | Keta Bhakta | Dentist | 13551 Balsam Ln N, Dayton, MN 55327-9464 | 2013-05-23 |
| 1932440724 | Shelhouse Dental Group LLC | Dentist | 1601 Needmore Rd, Dayton, OH 45414-3855 | 2013-03-05 |
| 1316288103 | Shelhouse Comprehensive Dental LLC | Dentist | 5335 Far Hills Ave Ste 210, Dayton, OH 45429-2317 | 2013-03-05 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1124307202 | Brooke D Goodwin | Dentist | 101 Heartland Ct, Dayton, VA 22821-9000 | 2011-08-08 |
| 1760795785 | Kokila Punia | Dentist | 1309 Blossom Cir, Dayton, NJ 08810-2414 | 2010-07-19 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.