Connie F. Cicorelli, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G1-0000958 Issued in DE

Legal business name

CONNIE F. CICORELLI, D.D.S., P.A.

Practice address

1401 Silverside Rd
Wilmington, DE 19810-4400

Phone

(302) 798-5797

Fax

(302) 798-9232

NPI assigned

Dec 7, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Connie F Cicorelli, D.D.S

Title

Owner

Phone

(302) 798-5797

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1013076967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104400",
            "telephone_number": "302-798-5797",
            "fax_number": "302-798-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SILVERSIDE RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104400",
            "telephone_number": "302-798-5797",
            "fax_number": "302-798-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE F. CICORELLI, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "CICORELLI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-798-5797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G1-0000958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.