IndividualActive
John Civillico, DMD
NPI 1861668360 · Dentist · Drexel Hill, PA
Provider details
- NPI number
- 1861668360
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS037196 (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
- 2008-05-05
- Last updated
- 2018-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.