Dr. Jack Miceli , DDS
Dentist - General Practice • Staten Island, NY
Professional Overview & Biography Verified Profile Summary
Dr. Jack Miceli, DDS is a registered healthcare professional specializing in Dentist - General Practice in Staten Island, NY. Practice services are available at 255 MASON AVE. under active NPI credentials.
Practice Location & Contact Primary Location
255 Mason Ave.
Staten Island, NY 103053416
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Staten Island, NY
Practicing in Staten Island, NY (8411 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Periodontics
Doctor of Dental Surgery
Dentist - Orthodontics and Dentofacial Orthopedics
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 255 MASON AVE., STATEN ISLAND, NY 103053416 (Tel: 7189876543)
Registered at 255 MASON AVE., STATEN ISLAND, NY 103053416 (Tel: 7189876543)
Recorded as JACK MICELI, DDS
Dentist (License #39067 in NY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
255 Mason Ave.
Staten Island, NY 103053416
Phone: 7189876543
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.