Carl Baccellieri, D.M.D

NPI 1396016747 · on the registry since 2012 · sole proprietor

Practice

Address: 630 Cope Rd
Kennett Square, PA 19348
Phone: (610) 444-0208
Fax: (610) 444-0653
Organisation at this address: Kennett Square Periodontics, Pc
Baccellieri Family Dentistry Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-01-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania