Dr. John S Miceli
Orthodontists
306 Main St
Wilmington
, Massachusetts 01887-2725
Dr. John S Miceli
Orthodontists
306 Main St
Wilmington
, Massachusetts 01887-2725
(978) 491-8847
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Dr. John S Miceli
- Po Box 7116
- Gloucester, MA
- Zip : 01930-5816
- Phone : (978) 491-8847
Second Address
- Dr. John S Miceli
- 306 Main St
- Wilmington, MA
- Zip : 01887-2725
- Phone : (978) 491-8847
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 11925 | MA |
National Provider Identifier
| NPI | 1003909953 |
|---|---|
| Provider Name | Dr. John S Miceli |
| First Address | Gloucester, MA 01930-5816 |
| Second Address | Wilmington, MA 01887-2725 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 04/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0202282 | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.