Individual provider · Type 1 NPI

Lucas Jordan Diciccio, DDS

Orthodontics and Dentofacial Orthopedics Dentistry · Fresno, CA

NPI number 1134835598 Active

Practice location

7055 N Fresno St Ste 302
Fresno, CA 93720-2957

Call (559) 325-3300 Map

Mailing address

11378 N Via Montessori Dr
Fresno, CA 93730-8839

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X105009 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1134835598

Lucas Jordan Diciccio, DDS's National Provider Identifier is 1134835598, issued on Jan 27, 2023. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fresno, CA. The record was last updated on Jan 27, 2023.