National Provider Identifier
Richard A Micoli, D.D.S.
Richard A Micoli, D.D.S. is listed in the NPPES registry with a primary specialty of General Practice Dentistry in Fairport, NY and a listed phone number of (585) 223-2888.
Profile Overview
- NPI
- 1063542009
- Provider Type
- Individual
- Primary Specialty
- General Practice Dentistry
- Enumeration Date
- March 07, 2007
- Last Updated
- July 08, 2007
Practice Location
- 6780 Pittsford Palmyra RD
- Suite 2B
- Fairport, NY 14450-3360
Phone: (585) 223-2888
Specialties
- General Practice Dentistry (1223G0001X)
Full Record
- NPI
- 1063542009
- Entity Type
- Individual
- Last Name
- Micoli
- First Name
- Richard
- Middle Name
- A
- Name Prefix
- Dr.
- Credential
- D.D.S.
- Mailing Street Address
- 6780 Pittsford Palmyra RD
- Mailing Address Line 2
- Suite 2B
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3360
- Mailing Country
- US
- Mailing Phone
- (585) 223-2888
- Mailing Fax
- (585) 223-0009
- Practice Street Address
- 6780 Pittsford Palmyra RD
- Practice Address Line 2
- Suite 2B
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3360
- Practice Country
- US
- Practice Phone
- (585) 223-2888
- Practice Fax
- (585) 223-0009
- Enumeration Date
- March 07, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- General Practice Dentistry (1223G0001X)