John S Miceli DMD

NPI 1003909953 - Dentist - 1223X0400X

NPI Details
NPI 1003909953
Gender Male
Enumeration Date 10/02/2006
Last Updated 09/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
WILMINGTON MA, 01887-2725, US
Phone (978) 491-8847
Business Location
PO BOX 7116
GLOUCESTER MA, 01930-5816, US
Phone (978) 491-8847
Taxonomy Code 1223X0400X
License State Massachusetts
License Number 11925
Remove 1003909953 NPI Number

According to our database, Dr. John S Miceli DMD NPI is 1003909953, taxonomy code is 1223X0400X and license number is 11925, license state is located at Massachusetts. John S Miceli DMD physically located at 306 Main St, Wilmington MA, 01887-2725. NPI Number John S Miceli DMD has the Individual type.

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1003909953 NPI number is provided on an as is basis without warranty of any kind. 1003909953 is maintained by the National Plan & Provider Enumeration System. The contents of John S Miceli DMD are for informational purposes only.