Individual
DR. AMY MARIE CAICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3195
(330) 480-1366
Mailing address
1001 COVINGTON ST, YOUNGSTOWN, OH 44510-1617
(330) 480-3195
(330) 480-1366
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025002
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166984
—
OH
Enumeration date
04/27/2016
Last updated
12/08/2017
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