Individual provider · Type 1 NPI
Phillip Lopiccolo, DDS
Periodontics · Edwards, CA
NPI number
1366465890
Active
Practice location
31 Nightingale Road Building 5513
Edwards, CA 93524-2901
Mailing address
409 Makin Ave
Palmdale, CA 93551-2936
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 30509 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1366465890
Phillip Lopiccolo, DDS's National Provider Identifier is 1366465890, issued on Jul 25, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Edwards, CA. The record was last updated on Feb 17, 2020.