Michelle Icasiano in Fort Benning - Oral And Maxillofacial Surgery
Michelle Icasiano - NPI 1083700793
Michelle Icasiano is a Oral And Maxillofacial Surgery in Fort Benning, Georgia. Michelle Icasiano practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michelle Icasiano is 1083700793. The last update date is 2007-07-08.
Michelle Icasiano's current location address is 7101 Hoff St. Bldg 9240, Fort Benning, Georgia. You can contact this provider via phone number 7065444530 and fax number 7065441933. The mailing address for Michelle Icasiano is 7101 Hoff St. Bldg 9240, Fort Benning, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michelle Icasiano |
|---|---|
| Address | 7101 Hoff St. Bldg 9240, Fort Benning, Georgia |
| Phone Number | 7065444530 |
| Fax Number | 7065441933 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083700793 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7101 Hoff St. Bldg 9240 |
|---|---|
| City | Fort Benning |
| State | Georgia (GA) |
| Post Code | 31905 |
| Phone Number | 7065444530 |
| Fax Number | 7065441933 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS029194L |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the Michelle Icasiano's unique identification number?
The Michelle Icasiano has been assigned the NPI (National Provider Identifier) Number 1083700793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Michelle Icasiano?
The Michelle Icasiano is physically situated at 7101 Hoff St. Bldg 9240, in the city of Fort Benning, state of GA, with the postal code 31905.
What is the area of specialization for Michelle Icasiano, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michelle Icasiano is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 1223S0112X.
When did Michelle Icasiano receive its 1083700793 assignment?
The Michelle Icasiano was assigned its 1083700793 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Michelle Icasiano last refreshed?
The information related to the Michelle Icasiano, including its address, specialty, and other relevant details, was last updated on 2007-07-08.