“Oral And Maxillofacial Surgery (dentist)” (Fort Benning, GA)
Location: Fort Benning, GA
Taxonomy: Oral And Maxillofacial Surgery (dentist).
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1083700793
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MICHELLE
ICASIANO
Practice Location Address:
7101 HOFF ST. BLDG 9240
USA DENTAL ACTIVITY
FORT BENNING GA
31905
Practice Phone:
706-544-4530