Individual provider · Type 1 NPI
John S. Miceli, DMD
Orthodontics and Dentofacial Orthopedics Dentistry · Wilmington, MA
Practice location
306 Main St
Wilmington, MA 01887-2725
Mailing address
PO Box 7116
Gloucester, MA 01930-5816
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 11925 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…
3 other providers at this address
Other orthodontics and dentofacial orthopedics dentistry providers in Wilmington
About NPI 1003909953
John S. Miceli, DMD's National Provider Identifier is 1003909953, issued on Oct 2, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Wilmington, MA. The record was last updated on Sep 4, 2015.