MICHELLE ICASIANO
NPI 1083700793
Dentist - Oral and Maxillofacial Surgery in Fort Benning, GA

Q: What is Michelle Icasiano's NPI number?

The NPI number for Michelle Icasiano is 1083700793. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Michelle Icasiano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Icasiano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2006

7101 HOFF ST. BLDG 9240, USA DENTAL ACTIVITY, FORT BENNING, GA 31905(706) 544-4530(706) 544-1933 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michelle Icasiano NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ICASIANO (NPI 1083700793) is an individual oral and maxillofacial surgery provider in Fort Benning, Georgia, licensed in Pennsylvania (DS029194L) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083700793

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameMICHELLE ICASIANO

Location Address7101 HOFF ST. BLDG 9240, USA DENTAL ACTIVITYFort Benning, GA 31905

Mailing Address7101 Hoff St. Bldg 9240, Usa Dental ActivityFort Benning, GA 31905 · (706) 544-4530 · Fax (706) 544-1933

Phone(706) 544-4530

Fax(706) 544-1933

Sole ProprietorYes

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083700793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in PA · DS029194L

Definition

An oral and maxillofacial surgery dentist specialized in 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.

7101 HOFF ST. BLDG 9240, Fort Benning, GA 31905

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Icasiano's NPI number?

The NPI number for Michelle Icasiano is 1083700793. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Michelle Icasiano located?

Michelle Icasiano practices at 7101 Hoff St. Bldg 9240 Usa Dental Activity, Fort Benning, GA 31905. The listed phone number is (706) 544-4530.

What is Michelle Icasiano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Michelle Icasiano was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.