Facciolo, John

Facciolo, John is an sole proprietor health care provider with primary practice located at 1304 N Broom St , Wilmington DE 19806-4266. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Facciolo, John can be contacted via phone (302) 652-2451.

Contact Information

Primary practice address
1304 N Broom St Wilmington DE 19806-4266
Phone: (302) 652-2451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X G1-0011491 Delaware

Profile Details

NPI number 1922635606
LBN Legal business name Facciolo, John
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2020
Last updated May 8th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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