Healthcare Provider Details

I. General information

NPI: 1043142961
Provider Name (Legal Business Name): SAXTON FAMILY DENTAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

906 MAIN ST
SAXTON PA
16678-1120
US

IV. Provider business mailing address

906 MAIN ST
SAXTON PA
16678-1120
US

V. Phone/Fax

Practice location:
  • Phone: 814-635-3176
  • Fax:
Mailing address:
  • Phone: 814-635-3176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MICAH BRYCE GARBER
Title or Position: DENTIST
Credential: DMD
Phone: 717-344-2259