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NPI Code Detail

MEDICARE: DR. DENNIS MICHAEL CIANCIULLI JR. D.C.

MEDICARE:  DR. DENNIS MICHAEL CIANCIULLI JR. D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor6976TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100683UOTHERPTIN
26976OTHERTXSTATE LICENSE
3364481469OTHERTXTAX ID
48F3390OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1932261344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS MICHAEL CIANCIULLI JR. D.C.
Provider Business Mailing Address
First Line : 3730 N JOSEY LN
Second Line : STE 122
City : CARROLLTON
State : TX
Zip : 75007-2439
Country : US
Telephone Number : 281-367-8101
Fax Number : 281-367-8209
Provider Business Practice Location Address
First Line : 3730 N JOSEY LN STE 122
Second Line :
City : CARROLLTON
State : TX
Zip : 75007-2439
Country : US
Telephone Number : 972-492-5670
Fax Number : 729-492-5679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 06/09/2020

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Directions to “ DR. DENNIS MICHAEL CIANCIULLI JR. D.C.” Practice Location

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