Individual
CARL GEORGE CICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
175 COTTAGE ST, LITTLETON, NH 03561-4201
(603) 444-6411
(603) 444-1629
Mailing address
PO BOX 375, LITTLETON, NH 03561-0375
(603) 444-6411
(603) 444-1629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1367
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157698
UNITED CONCORDIA
PA
05
—
191844
—
NH
01
—
236429
ANTHEM BCBS
VA
Enumeration date
08/17/2006
Last updated
07/09/2007
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