| Steven E. Nicholson, D.m.d., P.c. | |
|
14 S Cedar St Hazleton PA 18201-6602 | |
| (570) 455-6275 | |
| Not Available |
| Full Name | Steven E. Nicholson, D.m.d., P.c. |
|---|---|
| Speciality | Dentist |
| Location | 14 S Cedar St, Hazleton, Pennsylvania |
| Authorized Official Name and Position | Steven Earl Nicholson (PRESIDENT) |
| Authorized Official Contact | 5704556275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven E. Nicholson, D.m.d., P.c. 14 S Cedar St Hazleton PA 18201-6602 Ph: (570) 455-6275 | Steven E. Nicholson, D.m.d., P.c. 14 S Cedar St Hazleton PA 18201-6602 Ph: (570) 455-6275 |
| NPI Number | 1164054565 |
|---|---|
| Provider Enumeration Date | 02/04/2020 |
| Last Update Date | 02/04/2020 |
| Medicare PECOS PAC ID | 3678903549 |
|---|---|
| Medicare Enrollment ID | O20200416000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164054565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Michael B Weiss |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1528175494 PECOS PAC ID: 0143524454 Enrollment ID: I20180618000345 |
| Provider Name | Steven E Nicholson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1881794386 PECOS PAC ID: 3173825924 Enrollment ID: I20180618000901 |
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