DR. JOHN S MICELI (NPI# 1003909953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003909953 |
| Entity Type | Individual |
| Full Name | DR. JOHN S MICELI |
| Credential | DMD |
| Practice Address |
306 Main St Wilmington MA 01887-2725 |
| Mailing Address |
Po Box 7116 Gloucester MA 01930-5816 |
| Practice Telephone | 9784918847 |
| Mailing Telephone | 9784918847 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
11925 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0202282 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649348251 | John Miceli Jr. | Chiropractor | 1521 W Whittier Blvd, La Habra, CA 90631-3616 | 2006-12-01 |
| 1982780862 | John Edward Miceli | Dentist | 9984 Martin Ave, Lake City, PA 16423-1527 | 2006-10-31 |
| Street Address |
306 MAIN ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-2725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679957823 | Wilmington Family Dental PC | Dentist | 306 Main St, Wilmington, MA 01887-2725 | 2015-07-17 |
| 1306009147 | Scott T Hornung | Dentist | 306 Main St, Wilmington, MA 01887-2725 | 2008-07-02 |
| 1558492876 | Wilmington Family Dental | Dentist | 306 Main St, Wilmington, MA 01887-2725 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396902722 | Henry D Browning Iv | Dentist | 604 Junction Creek, Wilmington, NC 28412 | 2008-05-22 |
| 1962671396 | Joseph Enneis Jamison | Dentist | 1409 Medical Center Dr, Wilmington, NC 28401-7504 | 2008-02-29 |
| 1215142047 | William Vincent Gierie II | Dentist | 1650 Military Cutoff Rd, Ste 104, Wilmington, NC 28403-5720 | 2007-05-14 |
| 1114146131 | Campbell and Covington Orthodontics | Dentist | 1516 Doctors Cir, Wilmington, NC 28401-7404 | 2007-04-25 |
| 1952529364 | Gregory L Richardson | Dentist | 2606 Iron Gate Drive, Suite 101, Wilmington, NC 28412 | 2007-04-23 |
| 1700915014 | Fred S Fink | Dentist | 3518 Silverside Rd, 23 The Commons, Wilmington, DE 19810-4907 | 2007-03-04 |
| 1841341591 | Greeley & Nista Orthodontics, Pa | Dentist | 1405 Silverside Rd, Wilmington, DE 19810-4445 | 2007-01-16 |
| 1821169301 | Henry D. Browning Iv, Dds Pa | Dentist | 604 Junction Creek Drive, Wilmington, NC 28412 | 2006-11-13 |
| 1518044718 | Sidney Warren Phillips Jr. | Dentist | 2606 New Village Way, Wilmington, NC 28405-7426 | 2006-11-01 |
| 1386731230 | Gary R Collins | Dentist | 5500 Skyline Drive, Suite 1, Wilmington, DE 19808 | 2006-10-10 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on DR. JOHN S MICELI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.