Miceli, Talia Elaine

Miceli, Talia Elaine is an individual health care provider with primary practice located at 1828 W Lake Ave , Neptune NJ 07753-4663. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Miceli, Talia Elaine can be contacted via phone (732) 869-5734.

Contact Information

Primary practice address
1828 W Lake Ave Neptune NJ 07753-4663
Phone: (732) 869-5734
Fax: (732) 869-5730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 22DI02784600 New Jersey

Profile Details

NPI number 1750945770
LBN Legal business name Miceli, Talia Elaine
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2019
Last updated Aug 25th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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