# MICHAEL J BIXBY DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992125926
- **Authorized official:** DR. MICHAEL BIXBY DMD (OWNER)
- **Authorized official phone:** (732) 859-4974

## Contact information

- **Practice address:** 250 MAPLE AVE, RED BANK, NJ 07701-1731
- **Practice address phone:** (732) 224-1160
- **Mailing address:** 250 MAPLE AVE, RED BANK, NJ 07701-1731
- **Mailing address phone:** (732) 224-1160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02038600 | NJ | Yes |
| 332BC3200X | Customized Equipment (DME) | — | — | — |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/17/2014