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Dr. John S Miceli, DMD
Orthodontics and Dentofacial Orthopedic Dentist in Wilmington, Massachusetts
NPI 1003909953

John S Miceli is a Orthodontics and Dentofacial Orthopedic Dentist based in Gloucester, MA and is specialized in Orthodontics and Dentofacial Orthopedics. 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 (Massachusetts).

The current practice location address for John S Miceli is 306 Main St, Wilmington, MA and can be reached out via phone at 978-491-8847.

Location: 306 Main St, Wilmington, MA, 01930-5816
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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, 01930-5816
Phone Number
978-491-8847
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0202282 05 MA
institution
Provider Business Practice Location Address Details
Address
306 Main St
City
Wilmington
State
Massachusetts
Zip
01887-2725
Phone Number
978-491-8847
Fax Number
person
Provider Business Mailing Address Details
Address
306 Main St
City
Wilmington
State
Massachusetts
Zip
01887-2725
Phone Number
978-491-8847
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
11925 (Massachusetts)
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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