Dr. Nicholas Brassard, DDS, MSD
Dentist in Avon, IN. Individual provider (NPI-1).
NPI number1669005229
StatusActive
Last updated in NPPESFeb 21, 2020
Details
- NPI
- 1669005229
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Brassard
- Credential
- DDS, MSD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2020
- Certification date
- Feb 21, 2020
- Last updated
- Feb 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 12013094A | IN | Yes |
Practice location
8244 E Us Highway 36 Ste 1330Avon, IN 46123-9688
Phone 317-272-4755
Mailing address
8244 E Us Highway 36 Ste 1330Avon, IN 46123-9688
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