NPI 1013076967 · live from the CMS NPI Registry
Connie F. Cicorelli, D.D.S., P.A.
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1013076967, active.
NPI record
| NPI | 1013076967 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 1401 Silverside Rd, Wilmington, DE 19810 |
| Practice phone | 302-798-5797 |
| Enumerated | December 7, 2006 |
| Last updated | August 27, 2007 |
| Authorized official | Connie Cicorelli, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | G1-0000958 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.