Eniko Alicea, D.M.D
Individual provider Active NPI Dentist · Cave Creek, AZ
NPI 1750503546 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1750503546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7775 (AZ)
- Practice address
- 28255 N. Tatum Blvd Suite #4
Cave Creek, AZ 85331 - Phone
- (480) 563-4141
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30-022322 | OH | MD | General Practice Dentistry |
| 7775 | AZ | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-022322 | OH | |
| General Practice Dentistry | 1223G0001X | 7775 | AZ | |
| Dentist | 122300000X | 7775 | AZ | Yes |
Addresses
Primary practice location
28255 N. Tatum Blvd Suite #4
Cave Creek, AZ 85331
Mailing address
28255 N. Tatum Blvd Suite #4
Cave Creek, AZ 85331
Phone (480) 563-4141
Other names
- Eniko Alicea
Other providers in Cave Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.