MEDICARE: DR. MARY POXON D.D.S.

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
1	1223G0001X	General Practice Dentistry	30266	CA

General Provider Information

NPI Number	:	1568524254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY POXON D.D.S.

Provider Business Mailing Address
First Line	:	1206 FARMERS LN
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-6707
Country	:	US
Telephone Number	:	707-575-4450
Fax Number	:	707-575-4451

Provider Business Practice Location Address
First Line	:	1206 FARMERS LN
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-6707
Country	:	US
Telephone Number	:	707-575-4450
Fax Number	:	707-575-4451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619076288 — DR. KAMRAN AZMOUDEH D.D.S.
Practice Location Address:

1200 FARMERS LN
SANTA ROSA, CA
95405-6707

Practice Phone: 707-576-1416
Practice Fax:

1407957947 — CLINTON E WEAVER DDS
Practice Location Address:

1202 FARMERS LN
SANTA ROSA, CA
95405-6707

Practice Phone: 707-526-7036
Practice Fax: 707-526-4569

1003982083 — DR. SIMONE WINKLER DOWNS DDS
Practice Location Address:

1206 FARMERS LANE
SANTA ROSA, CA
95405-6707

Practice Phone: 707-575-4450
Practice Fax: 415-789-1252

1679632574 — DR. MOJGAN G YOUSEFZADEH D.D.S.
Practice Location Address:

1240 FARMERS LN
SANTA ROSA, CA
95405-6707

Practice Phone: 707-542-5200
Practice Fax:

1417009598 — WESTERN DENTAL SERVICES, INC.
Practice Location Address:

1240 FARMERS LN
SANTA ROSA, CA
95405-6707

Practice Phone: 707-542-5200
Practice Fax: 707-579-3207

1558401018 — DR. DAVID H LEE DDS, MSD
Practice Location Address:

1240 FARMERS LN
SANTA ROSA, CA
95405-6707

Practice Phone: 707-542-5200
Practice Fax:

Directions to “ DR. MARY POXON D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.