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NPI Code Detail

MEDICARE: DR. MICHAEL J BIXBY D.M.D.

MEDICARE:  DR. MICHAEL J BIXBY  D.M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDI 20386NJ

General Provider Information

NPI Number : 1689694762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL J BIXBY D.M.D.
Provider Business Mailing Address
First Line : 2240 STATE ROUTE 33 STE 114
Second Line :
City : NEPTUNE CITY
State : NJ
Zip : 07753-6121
Country : US
Telephone Number : 732-455-3030
Fax Number :
Provider Business Practice Location Address
First Line : 2240 STATE ROUTE 33 STE 114
Second Line :
City : NEPTUNE CITY
State : NJ
Zip : 07753-6121
Country : US
Telephone Number : 732-455-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 07/11/2025

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Directions to “ DR. MICHAEL J BIXBY D.M.D.” Practice Location

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