Civillico Family Dentistry
NPI 1417118480ActiveOrganization· Dentist, General Practice· Drexel Hill, PA
Dentist, General Practice in Drexel Hill, Pennsylvania, registered in NPPES in June 2008. The authorized official on file is Nicholas J. Civillico, D.D.S., Owner/Practitioner.
Overview
| NPI | 1417118480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2008 |
| Last updated in NPPES | Dec 14, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DS019365L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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