Organization · Type 2 NPI

Jack Miceli DDS PC

General Practice Dentistry · Staten Island, NY

NPI number 1932266566 Active

Practice location

255 Mason Ave.
Staten Island, NY 10305-3416

Call (718) 987-6543 Map

Fax (718) 987-6542

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X39067 (NY)

General Practice Dentistry: 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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About NPI 1932266566

Jack Miceli DDS PC's National Provider Identifier is 1932266566, issued on Jan 2, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Staten Island, NY. The record was last updated on Feb 23, 2010.