Individual
DR. CONNIE F. CICORELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1401 SILVERSIDE RD CICORELLI DENTAL GROUP, SUITE 2A, WILMINGTON, DE 19810-4400
(302) 798-5797
(302) 798-9232
Mailing address
1401 SILVERSIDE RD, SUITE 2A, WILMINGTON, DE 19810-4400
(302) 798-5797
(302) 798-9232
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
G1-0000958
DE
1223G0001X
General Practice Dentistry
G1-0000958
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110331
—
DE
Enumeration date
10/05/2006
Last updated
04/15/2022
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