Individual
DR. DENNIS MICHAEL CIANCIULLI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3730 N JOSEY LN STE 122, CARROLLTON, TX 75007-2439
(972) 492-5670
(729) 492-5679
Mailing address
3730 N JOSEY LN, STE 122, CARROLLTON, TX 75007-2439
(281) 367-8101
(281) 367-8209
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6976
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00683U
PTIN
—
01
—
364481469
TAX ID
TX
01
—
6976
STATE LICENSE
TX
01
—
8F3390
BLUE CROSS BLUE SHIELD
TX
Enumeration date
12/14/2006
Last updated
06/09/2020
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