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Michelle Icasiano

Oral and Maxillofacial Surgeon

7101 Hoff St. Bldg 9240 Usa Dental Activity
Fort Benning , Georgia 31905

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Michelle Icasiano

Oral and Maxillofacial Surgeon

7101 Hoff St. Bldg 9240 Usa Dental Activity
Fort Benning , Georgia 31905

(706) 544-1933

Write a Review Save Call

Michelle Icasiano

Oral and Maxillofacial Surgeon

7101 Hoff St. Bldg 9240 Usa Dental Activity
Fort Benning , Georgia 31905

(706) 544-1933 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Oral and Maxillofacial Surgeon

Languages spoken

  • English

Location

7101 Hoff St. Bldg 9240 Usa Dental Activity Fort Benning , Georgia 31905

First Address

  • Michelle Icasiano
  • 7101 Hoff St. Bldg 9240 Usa Dental Activity
  • Fort Benning, GA
  • Zip : 31905
  • Fax : (706) 544-1933
  • Phone : (706) 544-4530

Second Address

  • Michelle Icasiano
  • 7101 Hoff St. Bldg 9240 Usa Dental Activity
  • Fort Benning, GA
  • Zip : 31905
  • Fax : (706) 544-1933
  • Phone : (706) 544-4530

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FAQs


Where did Michelle Icasiano attend graduate school?

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Where did Michelle Icasiano do her residency?

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Where did Michelle Icasiano do her fellowship?

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Is Michelle Icasiano board certified?

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What type of doctor is Michelle Icasiano

Oral and Maxillofacial Surgeon

In what state does Michelle Icasiano practice in?

Georgia

Where is Michelle Icasiano ’s practice located?

7101 Hoff St. Bldg 9240 Usa Dental Activity , Fort Benning, Georgia, 31905

What is Michelle Icasiano ’s gender?

Female

Is Michelle Icasiano a sole practitioner?

No

Is Michelle Icasiano accepting new patients?

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What languages does Michelle Icasiano speak?

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Does Michelle Icasiano accept insurance?

Yes, Michelle Icasiano accepts insurance

Does Michelle Icasiano offers telemedicine?

Michelle Icasiano has not indicated if she offers telemedicine

What is Michelle Icasiano ’s professional license number?

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What is Michelle Icasiano ’s NPI number?

1083700793

Does Michelle Icasiano have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223S0112X Oral and Maxillofacial Surgeon DS029194L PA

National Provider Identifier

NPI 1083700793
Provider Name Michelle Icasiano
First Address Fort Benning, GA 31905
Second Address Fort Benning, GA 31905
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 04/10/2006
Last Update Date 08/07/2007

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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