Active NPIIndividual providerSole proprietor

Dr. John S Miceli, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Wilmington, Massachusetts

NPI Number1003909953
Practice location
306 Main St, Wilmington, MA 01887-2725
Fax
—
Last updated
September 4, 2015

John S Miceli is a Dentist, Orthodontics and Dentofacial Orthopedics based in Wilmington, MA. John S Miceli practices in Wilmington, MA and has the professional credentials of DMD. The NPI Number for John S Miceli is 1003909953 and holds a License No. 11925 (MA). The current practice location address for John S Miceli is 306 Main St, Wilmington, MA 01887-2725 and can be reached out via phone at 978-491-8847.

Provider Profile Details

NPI Number
1003909953
Provider Name
John S Miceli
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
306 Main St, Wilmington, MA 01887-2725
Phone Number
978-491-8847
Sole Proprietor
Yes
Provider Enumeration Date
October 2, 2006
Last Update Date
September 4, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
306 Main St
Wilmington, MA 01887-2725
Zip
01887-2725
Phone Number
978-491-8847
Wilmington, MA 01887Get directions →

Provider Business Mailing Address Details

Address
Po Box 7116
Gloucester, MA 01930-5816
City
Gloucester
State
MA
Zip
01930-5816
Phone Number
978-491-8847

License Information

License Number
11925
License State
MA
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John S Miceli, DMD?

The NPI number of Dr. John S Miceli, DMD is 1003909953. It was assigned on October 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. John S Miceli, DMD?

Dr. John S Miceli, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in MA under license number 11925.

Where does Dr. John S Miceli, DMD practice?

The practice location is 306 Main St, Wilmington, MA 01887-2725. The office can be reached at 978-491-8847 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003909953 directly on the NPPES registry website.

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