Nicole Veronica Balthazar, DMD is a
Dentist - General Practice based in Forestdale, Massachusetts. Nicole Veronica Balthazar is licensed to practice in Massachusetts (license number MA19715) and her current practice location is
280 Rte 130, Bldg A9, Forestdale, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 888-3088.
NPI number for Nicole Veronica Balthazar is 1730106683 and her current mailing address is 280 Rte 130, Bldg A9, Forestdale, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730106683.
Healthcare Provider's Profile
Full Name | Nicole Veronica Balthazar |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 280 Rte 130, Forestdale, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730106683
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Nicole Veronica Balthazar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730106683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | MA19715 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Veronica Balthazar is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicole Veronica Balthazar, DMD 280 Rte 130, Bldg A9, Forestdale, MA 02644 Ph: (508) 888-3088 | Nicole Veronica Balthazar, DMD 280 Rte 130, Bldg A9, Forestdale, MA 02644 Ph: (508) 888-3088 |
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