Search › Georgia › Oral and Maxillofacial Surgery (Dentist)
Michelle Icasiano
NPI 1083700793 · on the registry since 2006 · sole proprietor
Practice
- Address
- 7101 Hoff St. Bldg 9240
Usa Dental Activity
Fort Benning, GA 31905 - Phone
- (706) 544-4530
- Fax
- (706) 544-1933
- Organisation at this address
- Martin Army Community Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 54
Registry record
- Primary taxonomy
- Oral and Maxillofacial Surgery (Dentist)
1223S0112X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia