MR. Jack Miceli, DDS is a general practice dentist in Staten Island, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Jack Miceli, DDS NPI is 1851458483. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
255 MASON AVE.
STATEN ISLAND, NY
ZIP 10305-416
Phone: (718) 987-6543
Fax: (718) 987-6542
The enumeration date for this NPI number is 1/2/2007 and was last updated on 2/23/2010.