SearchPennsylvaniaGeneral Practice Dentistry

John Miceli, D.M.D

NPI 1982780862 · on the registry since 2006 · sole proprietor

Practice

Address
9984 Martin Ave
Lake City, PA 16423
Phone
(814) 774-5242
Fax
(814) 774-5242
Organisation at this address
Bishop Family Medicine, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Also registered as
General Practice Dentistry
General Practice Dentistry
Licence states on file
PA, MD, OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania