Individual provider · NPI-1

Nicholas Dulock

Dentist, General Practice · Lebanon, NH

NPI number1962196949
StatusActive
Last updated in NPPESJun 25, 2024

Details

NPI
1962196949
Entity type
Individual (NPI-1)
Name
Nicholas Dulock
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 5, 2023
Certification date
Jun 25, 2024
Last updated
Jun 25, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice04831NHYes
122300000X Dentist04831NH

Practice location

31 Old Etna Rd Ste N1
Lebanon, NH 03766-1933

Phone 978-888-7403

Mailing address

4 Cedarwood Ln Unit 408
Lebanon, NH 03766-4447

Phone 978-888-7403

Other practice locations

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone 603-650-5000

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