Ezio Novelli
Oral & Maxillofacial Surgeon
4201 Okemos Rd
Okemos
, Michigan 48864
Ezio Novelli
Oral & Maxillofacial Surgeon
4201 Okemos Rd
Okemos
, Michigan 48864
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Ezio Novelli
- 4201 Okemos Rd
- Okemos, MI
- Zip : 48864-3200
- Phone :
Second Address
- Ezio Novelli
- 4201 Okemos Rd
- Okemos, MI
- Zip : 48864
- Phone : (517) 349-8383
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 4301109597 | MI |
National Provider Identifier
| NPI | 1558622712 |
|---|---|
| Provider Name | Ezio Novelli |
| First Address | Okemos, MI 48864-3200 |
| Second Address | Okemos, MI 48864 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2012 |
| Last Update Date | 08/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.