Middlesex Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

4887 Issued in CT

Legal business name

MIDDLESEX DENTAL GROUP PC

Practice address

106 Noroton Ave
Middlesex Dental
Darien, CT 06820-5237

Phone

(203) 655-9922

Fax

(203) 655-9597

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph D Miceli, DDS

Title

President

Phone

(203) 655-9922

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184849713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "address_2": "MIDDLESEX DENTAL",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205237",
            "telephone_number": "203-655-9922",
            "fax_number": "203-655-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 NOROTON AVE",
            "address_2": "MIDDLESEX DENTAL",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205237",
            "telephone_number": "203-655-9922",
            "fax_number": "203-655-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MICELI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-655-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4093",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Melchionno, NP-C
• Erin Patricia Micali, PSY.D.
• Joseph D Miceli, DDS
• Michele D. Brown, M.D., LLC (Michele D Brown, MD)
• Kyle Michelson, OTR/L
• Ashleigh E. Miller, LCSW
• Charles Miner III, M.D.
• Niloofar Mirsaidi, MD
• Monarch Orthodontics Corporation
• Moore Center for Rehabilitation,PC

• Dentist in Darien, CT
• Providers in Darien, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.