Steven E. Nicholson, D.M.D., P.C.
Dentist, General Practice in Hazleton, PA. Organization (NPI-2).
NPI number1164054565
StatusActive
Last updated in NPPESFeb 4, 2020
Details
- NPI
- 1164054565
- Entity type
- Organization (NPI-2)
- Legal business name
- Steven E. Nicholson, D.M.D., P.C.
- Organization subpart
- No
- Enumeration date
- Feb 4, 2020
- Certification date
- Feb 4, 2020
- Last updated
- Feb 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
14 S Cedar StHazleton, PA 18201-6602
Phone 570-455-6275
Mailing address
14 S Cedar StHazleton, PA 18201-6602
Phone 570-455-6275
Authorized official
Steven Earl Nicholson
President
5704556275
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All 14 General Practice Dentistry providers in Hazleton · All 542 providers in Hazleton
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