| Michael J Bixby Dmd, Llc | |
|
250 Maple Ave Red Bank NJ 07701-1731 | |
| (732) 224-1160 | |
| Not Available |
| Full Name | Michael J Bixby Dmd, Llc |
|---|---|
| Speciality | Dentist |
| Location | 250 Maple Ave, Red Bank, New Jersey |
| Authorized Official Name and Position | Michael Bixby (OWNER) |
| Authorized Official Contact | 7328594974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Bixby Dmd, Llc 250 Maple Ave Red Bank NJ 07701-1731 Ph: (732) 224-1160 | Michael J Bixby Dmd, Llc 250 Maple Ave Red Bank NJ 07701-1731 Ph: (732) 224-1160 |
| NPI Number | 1992125926 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992125926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02038600 (New Jersey) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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