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Dr. Dale Charles Nickelsen, DDS
Pediatric Dentist in Elgin, Illinois
NPI 1265748149

Dale Charles Nickelsen is a Pediatric Dentist based in Elgin, IL and is specialized in Pediatric Dentistry. Dale Charles Nickelsen practices in Elgin, IL and has the professional credentials of DDS. The NPI Number for Dale Charles Nickelsen is 1265748149 and holds a License No. 019-012082 (Illinois).

The current practice location address for Dale Charles Nickelsen is 860 Summit St, Elgin, IL and can be reached out via phone at 847-695-1693 and via fax at 847-695-9212.

Location: 860 Summit St, Elgin, IL, 60120-5145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265748149
Provider Name
Dale Charles Nickelsen
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
860 Summit St, Elgin, IL, 60120-5145
Phone Number
847-695-1693
Fax Number
847-695-9212
Provider Enumeration Date
08/30/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
860 Summit St
City
Elgin
State
Illinois
Zip
60120-5145
Phone Number
847-695-1693
Fax Number
847-695-9212
person
Provider Business Mailing Address Details
Address
860 Summit St
City
Elgin
State
Illinois
Zip
60120-5145
Phone Number
847-695-1693
Fax Number
847-695-9212
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
019-012082 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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