| Michele A. Bibeau, D.d.s. | |
|
1058 Fair Street Suite A Prescott AZ 86305 | |
| (928) 776-0606 | |
| (928) 776-0102 |
| Full Name | Michele A. Bibeau, D.d.s. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1058 Fair Street, Prescott, Arizona |
| Authorized Official Name and Position | Michele A Bibeau (OWNER) |
| Authorized Official Contact | 9287760606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele A. Bibeau, D.d.s. 1058 Fair Street Suite A Prescott AZ 86305 Ph: (928) 776-0606 | Michele A. Bibeau, D.d.s. 1058 Fair Street Suite A Prescott AZ 86305 Ph: (928) 776-0606 |
| NPI Number | 1790159853 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 11/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790159853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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