Individual provider · Type 1 NPI
John Edward Miceli, DMD
General Practice Dentistry · Lake City, PA
NPI number
1982780862
Active
Practice location
9984 Martin Ave
Lake City, PA 16423-1527
Fax (814) 774-5242
Mailing address
944 Aurora Ave
Girard, PA 16417-1246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS-030548-L (PA) |
| General Practice Dentistry | 1223G0001X | 12971 (MD) |
| General Practice Dentistry | 1223G0001X | 30.021870 (OH) |
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.
2 other providers at this address
About NPI 1982780862
John Edward Miceli, DMD's National Provider Identifier is 1982780862, issued on Oct 31, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Lake City, PA. The record was last updated on Jul 8, 2007.