MICHELE A. BIBEAU, D.D.S. (NPI# 1790159853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790159853 |
| Entity Type | Organization |
| Organization Name | MICHELE A. BIBEAU, D.D.S. |
| Practice Address |
1058 Fair Street Suite A Prescott AZ 86305 |
| Practice Telephone | 9287760606 |
| Practice Fax Number | 9287760102 |
| Mailing Telephone | 9287760606 |
| Mailing Fax Number | 9287760102 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | DR. MICHELE A BIBEAU (OWNER) |
| Authorized Official Telephone | 9287760606 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1058 FAIR STREET SUITE A |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| 1851667257 | Chapter 5 Recovery | Community/Behavioral Health | 709 W Gurley St, Prescott, AZ 86305 | 2012-03-29 |
| Find all providers in zip 86305 | ||||
| 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 |
|---|---|---|---|---|
| 1730664475 | Smiles of Arkansas Dental Center, Pllc | Dentist | 1495 W 1st St N, Prescott, AR 71857-3340 | 2018-09-28 |
| 1861985566 | Joshua Michael Allen | Dentist | 815 Gail Gardner Way Ste B, Prescott, AZ 86305-1800 | 2018-06-07 |
| 1902245434 | Tori Balbos | Dentist | 3765 Crossings Dr, Suite A, Prescott, AZ 86305-7121 | 2013-06-18 |
| 1336407386 | Hillary Jane Hunter | Dentist | 1267 Walnut St, Prescott, WI 54021-1060 | 2012-04-27 |
| 1255564506 | An Elegant Smile P.C. | Dentist | 980 Willow Creek Rd Ste 103, Prescott, AZ 86301-1619 | 2009-09-02 |
| 1083880082 | Mark Hayden | Dentist | 350 Whipple St, Prescott, AZ 86301-1714 | 2008-04-30 |
| 1073791919 | Keith L Rosdahl | Dentist | 1959 Commerce Center Cir., Prescott, AZ 86301 | 2008-02-02 |
| 1053517185 | Michele A Bibeau | Dentist | 1058 Fair St Ste A, Prescott, AZ 86305-1803 | 2007-06-25 |
| 1558564997 | Gene Allen | Dentist | 680 Gail Gardner Way, Prescott, AZ 86305-2335 | 2007-06-05 |
| 1851513972 | Kevin Michael Shuster | Dentist | 1727 Willow Creek Rd, Prescott, AZ 86301-1154 | 2007-05-02 |
| Find all providers in PRESCOTT | ||||
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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.