Piero Angelo Policicchio, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D13228 Issued in MI

Practice address

933 Butternut Dr
Holland, MI 49424-1513

Phone

(616) 399-0288

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861416224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241513",
            "telephone_number": "616-399-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 BUTTERNUT DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494241513",
            "telephone_number": "616-399-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLICICCHIO",
        "first_name": "PIERO",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "D13228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrita Loree Plaskewicz, CPNP
• Nicholas Platko, DPT
• Jeanne Poel, M.D.
• Nathan B. Poel, D.D.S.
• Alexandra Patricia Poland
• Cynthia Helen Pollet, LPC
• Bruce E Pommerening, CMT, CR
• Tara Poore
• Katee Elizabeth Pope, PA
• Madeleine Popp

• General Practice Dentistry in Holland, MI
• Providers in Holland, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.