Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Edward Miceli, DMD

Individual provider General Practice Dentistry · NPI 1982780862

Dr. John Edward Miceli, DMD is a General Practice Dentistry in Lake City, Pennsylvania. Practices as a sole proprietor. Licensed in Maryland, Ohio and Pennsylvania.

Licensed in
MD, OH, PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

9984 Martin Ave
Lake City, PA 16423-1527
Phone: (814) 774-5242
Fax: (814) 774-5242
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS-030548-L (PA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 12971 (MD)
General Practice Dentistry Taxonomy 1223G0001X · Licence 30.021870 (OH)

Record details

NPI number1982780862
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007