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Dr. John Edward Miceli, DMD
General Practice Dentistry in Lake City, Pennsylvania
NPI 1982780862

John Edward Miceli is a General Practice Dentistry based in Girard, PA and is specialized in General Practice. John Edward Miceli practices in Lake City, PA and has the professional credentials of DMD. The NPI Number for John Edward Miceli is 1982780862 and holds a License No. DS-030548-L (Pennsylvania).

The current practice location address for John Edward Miceli is 9984 Martin Ave, Lake City, PA and can be reached out via phone at 814-774-5242 and via fax at 814-774-5242.

Location: 9984 Martin Ave, Lake City, PA, 16417-1246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982780862
Provider Name
John Edward Miceli
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
9984 Martin Ave, Lake City, PA, 16417-1246
Phone Number
814-774-5242
Fax Number
814-774-5242
Provider Enumeration Date
10/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9984 Martin Ave
City
Lake City
State
Pennsylvania
Zip
16423-1527
Phone Number
814-774-5242
Fax Number
814-774-5242
person
Provider Business Mailing Address Details
Address
9984 Martin Ave
City
Lake City
State
Pennsylvania
Zip
16423-1527
Phone Number
814-774-5242
Fax Number
814-774-5242
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS-030548-L (Pennsylvania)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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