Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Michelle Ciccarelli

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386270437

Kristen Michelle Ciccarelli is a Student in an Organized Health Care Education/Training Program in Bloomfield Hills, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

50 W Big Beaver Rd Ste 100
Bloomfield Hills, MI 48304-3910
Phone: (248) 685-8748
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901600495 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1386270437
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESJuly 12, 2024
Certification dateJuly 12, 2024

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