Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EZIO NOVELLI, DDS, MD
Active Sole ProprietorEZIO NOVELLI, DDS, MD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in OKEMOS, Michigan. NPI 1558622712 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · OKEMOS, MI
Registration Details
- NPI Number
- 1558622712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 5, 2012 (14.157087763313 yrs)
- Last Updated
- Jun 8, 2018
- Licenses
-
2901020703 (MI)4301109597 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4201 OKEMOS RDOKEMOS, MI, 48864Browse MI providers · Browse ZIP 48864
- Phone
- 5173498383
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.