Provider Demographics
NPI:1134281025
Name:BIXEL, DOUGLAS A (DDS)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:A
Last Name:BIXEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 N FOREST ST
Mailing Address - Street 2:#5
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5130
Mailing Address - Country:US
Mailing Address - Phone:360-734-2802
Mailing Address - Fax:360-734-3149
Practice Address - Street 1:1101 N FOREST ST
Practice Address - Street 2:#5
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5130
Practice Address - Country:US
Practice Address - Phone:360-734-2802
Practice Address - Fax:360-734-3145
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA32451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice