Individual provider · Type 1 NPI
Nicholas John Civillico, DDS
General Practice Dentistry · Drexel Hill, PA
NPI number
1073774048
Active
Practice location
626 Burmond Rd.
Drexel Hill, PA 19026
Fax (484) 466-3132
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DS019365L (PA) |
General Practice Dentistry: 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.
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About NPI 1073774048
Nicholas John Civillico, DDS's National Provider Identifier is 1073774048, issued on Jun 22, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Drexel Hill, PA. The record was last updated on Sep 26, 2018.