Individual
ANTHONY JOSEPH MICHELOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 OLD MILTON PKWY STE A460, ALPHARETTA, GA 30005-3766
(770) 410-7565
Mailing address
3331 BRIARWOOD CIR, SAFETY HARBOR, FL 34695-4691
(727) 580-1200
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25419
FL
390200000X
Student in an Organized Health Care Education/Training Program
123456789
FL
Other
Enumeration date
02/26/2020
Last updated
04/07/2025
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