Mickles, Alicia Jamelle

Mickles, Alicia Jamelle is an individual health care provider with primary practice located at 26000 Lake Shore Blvd , Euclid OH 44132-1110. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Dentist is her primary health care specialty. Mickles, Alicia Jamelle can be contacted via phone (216) 289-0890.

Contact Information

Primary practice address
26000 Lake Shore Blvd Euclid OH 44132-1110
Phone: (216) 289-0890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11769 Connecticut
Dental Providers / Dentist 122300000X 10030 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 30.025418 Ohio

Profile Details

NPI number 1760897714
LBN Legal business name Mickles, Alicia Jamelle
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2014
Last updated Aug 15th, 2020 - about 4 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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