SAMUEL CIACCO NPI 1609903335

NPI Information

Samuel Ciacco is an endodontics dentist in Dearborn, MI. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Samuel Ciacco NPI is 1609903335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

23400 MICHIGAN AVE
STE 112
DEARBORN, MI
ZIP 48124-924
Phone: (313) 565-9118

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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