Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS JOHN CIVILLICO, DDS
Active Sole ProprietorDR. NICHOLAS JOHN CIVILLICO, DDS is a General Dentistry healthcare provider located in DREXEL HILL, Pennsylvania. NPI 1073774048 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DREXEL HILL, PA
Registration Details
- NPI Number
- 1073774048
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2008 (18.159944920317 yrs)
- Last Updated
- Sep 26, 2018
- License
-
DS019365L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
626 BURMOND RD.DREXEL HILL, PA, 19026Browse PA providers · Browse ZIP 19026
- Phone
- 6103526560
- Fax
- 4844663132
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DREXEL HILL, PA
| Name | Credential | NPI |
|---|---|---|
| DR. MATTHEW F MILANO | D.M.D. | 1497719967 |
| DR. DONALD R RUCH JR. | DMD | 1538274964 |
| DR. JEANNETTE Y ABBOUD-NIEMCZYK | D.M.D | 1013012061 |
| DR. EDWARD J MCKLINDON | DDS | 1699869636 |
| DR. PHILIP A SHORE | D.M.D. | 1750441408 |
| DR. SAUL JOEL WEISFELD | D.M.D. | 1891838595 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.