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Search › Illinois › 122300000X

Anthony Miceli, DDS

NPI 1528248598 · on the registry since 2007 · sole proprietor

Practice

Address
20180 Governors Hwy
Ste 104
Olympia Fields, IL 60461
Phone
(708) 747-9777
Fax
(708) 747-1064
Organisation at this address
Alexandra N. Douvas
Marsol Enterprises, Inc
Olympia Fields Family Dental
Heritage Health Care Systems, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-07

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 Illinois