Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN EDWARD MICELI, D.M.D.
Active Sole ProprietorDR. JOHN EDWARD MICELI, D.M.D. is a General Dentistry healthcare provider located in LAKE CITY, Pennsylvania. NPI 1982780862 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · LAKE CITY, PA
Registration Details
- NPI Number
- 1982780862
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2006 (19.798831251426 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
DS-030548-L (PA)12971 (MD)30.021870 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9984 MARTIN AVELAKE CITY, PA, 164231527Browse PA providers · Browse ZIP 16423
- Phone
- 8147745242
- Fax
- 8147745242
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.