Provider Demographics
NPI:1528260890
Name:BICKLER, JOEL J (DDS)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:J
Last Name:BICKLER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOEL
Other - Middle Name:J
Other - Last Name:BICKLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:BIG BEAR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92314-0250
Mailing Address - Country:US
Mailing Address - Phone:909-585-7444
Mailing Address - Fax:909-585-6965
Practice Address - Street 1:1012 WEST BIG BEAR BLVD
Practice Address - Street 2:
Practice Address - City:BIG BEAR CITY
Practice Address - State:CA
Practice Address - Zip Code:92314
Practice Address - Country:US
Practice Address - Phone:909-585-7444
Practice Address - Fax:909-585-6965
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist