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Individual

ALICIA JAMELLE MICKLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
6140 UNIVERSITY DR NW, HUNTSVILLE, AL 35806-1772
(256) 285-3420
Mailing address
6140 UNIVERSITY DR NW, HUNTSVILLE, AL 35806-1772
(256) 285-3420

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
10030
TN
122300000X
Dentist
11769
CT
122300000X
Dentist
30.025418
OH
122300000X
Dentist
Primary
D.007173-C
AL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/29/2014
Last updated
09/08/2025
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