NPI age
19 years
Enumerated 2006-10-04
● Active
Type 1 · Individual
Michelle Icasiano
Icasiano is 1 of 2 dentist providers in Fort Benning and 1 of 358 in Georgia.
Primary specialty
Dentist
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 358 active dentist providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
7101 Hoff St. Bldg 9240, Usa Dental Activity
Fort Benning, GA 31905
Mailing address
7101 Hoff St. Bldg 9240, Usa Dental Activity
Fort Benning, GA 31905
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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