DR. NICHOLAS JOHN CIVILLICO DDS
NPI 1073774048
Dentist - General Practice in Drexel Hill, PA

Active since June 22, 2008
626 BURMOND RD., DREXEL HILL, PA 19026(610) 352-6560(484) 466-3132 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nicholas John Civillico Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS JOHN CIVILLICO DDS (NPI 1073774048) is an individual general practice provider in Drexel Hill, Pennsylvania, licensed in Pennsylvania (DS019365L) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1073774048
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NICHOLAS JOHN CIVILLICOCredential: DDS
Location Address626 BURMOND RD.Drexel Hill, PA 19026
Mailing Address626 Burmond Rd.Drexel Hill, PA 19026 · (610) 352-6560 · Fax (484) 466-3132
Fax(484) 466-3132
Sole ProprietorYes
Enumeration DateJune 22, 2008
Last NPPES UpdateSeptember 26, 2018
NPI 1073774048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in PA · DS019365L
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.

626 BURMOND RD., Drexel Hill, PA 19026

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Civillico's NPI number?

The NPI number for Nicholas Civillico is 1073774048. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Nicholas Civillico located?

Nicholas Civillico practices at 626 Burmond Rd., Drexel Hill, PA 19026. The listed phone number is (610) 352-6560.

What is Nicholas Civillico's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nicholas Civillico accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Nicholas Civillico as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Civillico was last updated on September 26, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.