Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003804303 Individual Practitioner Female Practitioner

Dr. Michele Lynn Bloxson , DDS

Dentist - General Practice • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Dr. Michele Bloxson, DDS is a registered healthcare professional specializing in Dentist - General Practice in Dayton, OH. Practice services are available at 4257 W 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4257 W 3rd St

Dayton, OH 454171406

Telephone 9372681665
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
102 Specialists

Practicing in Dayton, OH (4287 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OH 30-022714

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.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License MI 2901018969

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4667047 (MI)
Commercial Insurance / Payer ID Bayside
88123MI
Commercial Insurance / Payer ID Blue Cross
D801095
Commercial Insurance / Payer ID Wadsworth
88096MI
Commercial Insurance / Payer ID United Concordia
1635834
Commercial Insurance / Payer ID Commerce
88171MI
Commercial Insurance / Payer ID Dental Blue
381908328020
Commercial Insurance / Payer ID Outer Drive
88170MI

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Amber Wright

Dentist - General Practice

NPI 1356399794
Dr. Jodi Mrozinski , DDS

Dentist - General Practice

NPI 1417063330

Doctor of Dental Surgery

Jose Garcia

Dentist - Pediatric Dentistry

NPI 1467011023
NPI 1861576563

Doctor of Dental Surgery

Daniel Bell

Dentist - General Practice

NPI 1902854342

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
NPI Profile Active March 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2008

Registered at 4257 W 3RD ST, DAYTON, OH 454171406 (Tel: 9372681665)

📍
Updated Business Mailing Address March 19, 2008

Registered at 415 N GRAND AVE, PUEBLO, CO 810033111 (Tel: 7195624461)

👤
Provider Name / Credentials Updated March 19, 2008

Recorded as MICHELE BLOXSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Dentist (License #30-022714 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2008

Dentist (License #2901018969 in MI)

🟢
Initial NPI Registration & Enumeration October 11, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003804303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2005
Last Update: March 19, 2008
Sole Proprietor: No

Mailing Address

415 N Grand Ave

Pueblo, CO 810033111

Phone: 7195624461

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.