Active NPIIndividual provider

Dr. Nikita A Naumowicz, DMD

Dentist in Brockton, Massachusetts

NPI Number1174196471
Practice location
4 Main St, Brockton, MA 02301-4027
Fax
508-256-2452
Last updated
July 23, 2021

Nikita Anna Naumowicz is a Dentist based in Brockton, MA. Nikita Anna Naumowicz practices in Brockton, MA and has the professional credentials of DMD. The NPI Number for Nikita Anna Naumowicz is 1174196471 and holds a License No. DN1859121 (MA). The current practice location address for Nikita Anna Naumowicz is 4 Main St, Brockton, MA 02301-4027 and can be reached out via phone at 508-587-7775 and via fax at 508-256-2452.

Provider Profile Details

NPI Number
1174196471
Provider Name
Nikita Anna Naumowicz
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
4 Main St, Brockton, MA 02301-4027
Phone Number
508-587-7775
Fax Number
508-256-2452
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2021
Last Update Date
July 23, 2021
Certification Date
July 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Main St
Brockton, MA 02301-4027
Zip
02301-4027
Phone Number
508-587-7775
Fax Number
508-256-2452
Brockton, MA 02301Get directions →

Provider Business Mailing Address Details

Address
84 Crawford St
Boston, MA 02121-1702
City
Boston
State
MA
Zip
02121-1702
Phone Number
207-216-2156

License Information

License Number
DN1859121
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Nikita A Naumowicz, DMD?

The NPI number of Dr. Nikita A Naumowicz, DMD is 1174196471. It was assigned on July 23, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Nikita A Naumowicz, DMD?

Dr. Nikita A Naumowicz, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859121.

Where does Dr. Nikita A Naumowicz, DMD practice?

The practice location is 4 Main St, Brockton, MA 02301-4027. The office can be reached at 508-587-7775 (phone) or 508-256-2452 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174196471 directly on the NPPES registry website.

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