Nicholas John Civillico in Drexel Hill - General Practice
Nicholas John Civillico - NPI 1073774048
Nicholas John Civillico is a General Practice in Drexel Hill, Pennsylvania. Nicholas John Civillico practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nicholas John Civillico is 1073774048. The last update date is 2018-09-26.
Nicholas John Civillico's current location address is 626 Burmond Rd., Drexel Hill, Pennsylvania. You can contact this provider via phone number 6103526560 and fax number 4844663132. The mailing address for Nicholas John Civillico is 626 Burmond Rd., Drexel Hill, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nicholas John Civillico |
|---|---|
| Address | 626 Burmond Rd., Drexel Hill, Pennsylvania |
| Phone Number | 6103526560 |
| Fax Number | 4844663132 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1073774048 |
|---|---|
| Provider Enumeration Date | 2008-06-22 |
| Last Updated Date | 2018-09-26 |
Provider Mailing Address Detail
| Address | 626 Burmond Rd. |
|---|---|
| City | Drexel Hill |
| State | Pennsylvania (PA) |
| Post Code | 19026 |
| Phone Number | 6103526560 |
| Fax Number | 4844663132 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DS019365L |
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Definition: 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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What is the Nicholas John Civillico's unique identification number?
The Nicholas John Civillico has been assigned the NPI (National Provider Identifier) Number 1073774048 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Nicholas John Civillico's physical address?
The Nicholas John Civillico is physically located at 626 Burmond Rd., in the city of Drexel Hill, PA, with the postal code 19026.
What is Nicholas John Civillico's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Nicholas John Civillico's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073774048 to Nicholas John Civillico?
The Nicholas John Civillico received its 1073774048 assignment from the Centers for Medicare & Medicaid Services on 2008-06-22.
When was the information regarding Nicholas John Civillico, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Nicholas John Civillico, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-09-26.