Edward John Micka, D.M.D.

General Practice Dentistry · Albany, NY

Individual Active NPI

NPI number 1619064011

Practice location

113 Holland Ave
Albany, NY 12208-3410
Phone
(518) 626-6570

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NPI record

NPI
1619064011
Entity type
Individual (Type 1)
Enumeration date
October 6, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 033195 NY

Mailing address

26 Morningside Dr
Latham, NY 12110-1302
Phone
(518) 786-0940

About Dr. Micka

Edward John Micka, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 113 Holland Ave, Albany, NY 12208-3410. The NPI number 1619064011 was assigned on October 6, 2006 and the record was last updated on July 8, 2007.

Dr. Micka lists a license in the registry: #033195 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Edward John Micka, D.M.D.?

The NPI number is 1619064011.

What is the phone number of Dr. Micka?

The phone number listed for the practice location is (518) 626-6570.

Where is Dr. Micka located?

113 Holland Ave, Albany, NY 12208-3410.

What is the taxonomy code for Dr. Micka?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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