Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Ciacco

Individual provider Endodontics · NPI 1609903335

Samuel Ciacco is an Endodontics in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

23400 Michigan Ave Ste 112
Dearborn, MI 48124-1924
Phone: (313) 565-9118
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 10546 (MI)

Record details

NPI number1609903335
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESJuly 8, 2007

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