DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK MICELI DDS PC

Active Organization

JACK MICELI DDS PC is a General Dentistry organization located in STATEN ISLAND, New York. NPI 1932266566 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · STATEN ISLAND, NY

Registration Details

NPI Number
1932266566
Provider Type
Organization
NPI Issued
Jan 2, 2007 (19.611493147048 yrs)
Last Updated
Feb 23, 2010
License
39067 (NY)

Practice Information

Address
255 MASON AVE.
STATEN ISLAND, NY, 103053416
Browse NY providers · Browse ZIP 10305
Phone
7189876543
Fax
7189876542
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in STATEN ISLAND, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.