Individual
DR. MICHELLE ZOCCOLILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1100 FLORIDA AVE, BOX 220, NEW ORLEANS, LA 70119-2715
(504) 941-8212
Mailing address
149 PLANTATION RIDGE DR STE 170, MOORESVILLE, NC 28117-9178
(704) 686-7661
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6625
LA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2021-01202
NC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9836
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2015
Last updated
04/19/2024
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