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NPI Code Detail

MEDICARE: DR. MICHAEL D SICKLICK DMD

MEDICARE: DR. MICHAEL D SICKLICK DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry14998NJ

General Provider Information

NPI Number : 1326015256
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL D SICKLICK DMD
Provider Business Mailing Address
First Line : 696 PALISADE AVE
Second Line :
City : TEANECK
State : NJ
Zip : 07666-3144
Country : US
Telephone Number : 201-833-0335
Fax Number : 201-833-9598
Provider Business Practice Location Address
First Line : 696 PALISADE AVE
Second Line :
City : TEANECK
State : NJ
Zip : 07666-3144
Country : US
Telephone Number : 201-833-0335
Fax Number : 201-833-9598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 06/11/2019

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Directions to “ DR. MICHAEL D SICKLICK DMD” Practice Location

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