| Charles A. Nickou, D.m.d Llc | |
|
16 Harris Street Newburyport MA 01950 | |
| (978) 462-9643 | |
| (978) 462-6167 |
| Full Name | Charles A. Nickou, D.m.d Llc |
|---|---|
| Speciality | Dentist |
| Location | 16 Harris Street, Newburyport, Massachusetts |
| Authorized Official Name and Position | Charles A Nickou (DENTIST/OWNER) |
| Authorized Official Contact | 9784629643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A. Nickou, D.m.d Llc 16 Harris Street Newburyport MA 01950 Ph: (978) 462-9643 | Charles A. Nickou, D.m.d Llc 16 Harris Street Newburyport MA 01950 Ph: (978) 462-9643 |
| NPI Number | 1366998163 |
|---|---|
| Provider Enumeration Date | 08/31/2016 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366998163 | NPI | - | NPPES |
| 15915 | Other | MA | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15915 (Massachusetts) | Primary |
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Newburyport Pediatric Dentistry, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 Graf Rd Ste 2a, Newburyport, MA 01950 Phone: 978-462-2227 | |
Timoths S Guldemond Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 143 State St, Unit 1, Newburyport, MA 01950 Phone: 978-462-5410 Fax: 978-465-7822 | |
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Leif K Bakland Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 37 1/2 Forrester St, Professional Building, Newburyport, MA 01950 Phone: 978-465-8492 Fax: 978-465-2191 | |
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