OrganizationActive
Civillico Family Dentistry
NPI 1417118480 · General Practice Dentistry · Drexel Hill, PA
Civillico Family Dentistry is a General Practice Dentistry organization in Drexel Hill, PA (NPI 1417118480).
Provider details
- NPI number
- 1417118480
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Civillico, Owner/Practitioner(610) 352-6560
- License
- DS019365L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
626 Burmont Rd
Drexel Hill, PA 19026-3827
Phone: (610) 352-6560
Fax: (484) 466-3132
Street-level locationGet directions
Mailing address
626 Burmont Rd
Drexel Hill, PA 19026-3827
Registry dates
- Enumerated
- 2008-06-22
- Last updated
- 2016-12-14
Frequently asked questions
- What is Civillico Family Dentistry's NPI number?
- Civillico Family Dentistry's National Provider Identifier (NPI) is 1417118480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Civillico Family Dentistry?
- Civillico Family Dentistry is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Civillico Family Dentistry located?
- Civillico Family Dentistry's practice location on file with NPPES is 626 Burmont Rd, Drexel Hill, PA 19026-3827.
- What is Civillico Family Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Civillico Family Dentistry is (610) 352-6560.
- Who is the authorized official for Civillico Family Dentistry?
- The authorized official listed on Civillico Family Dentistry's NPPES record is Nicholas Civillico, Owner/Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Civillico Family Dentistry's NPI active?
- Yes — Civillico Family Dentistry's NPI (1417118480) is active in the NPPES registry as of the last update on 2016-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.