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Dr. Nichole Kostiuk, DMD
Student in an Organized Health Care Education/Training Program in Norwood, Massachusetts
NPI 1407424955

Nichole Kostiuk is a Student in an Organized Health Care Education/Training Program based in Port Charlotte, MA. Nichole Kostiuk practices in Norwood, MA and has the professional credentials of DMD. The NPI Number for Nichole Kostiuk is 1407424955 and holds a License No. DN1859043 (Massachusetts).

The current practice location address for Nichole Kostiuk is 24 Guild St, Norwood, MA and can be reached out via phone at 781-551-2770.

Location: 24 Guild St, Norwood, MA, 33948-6038
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407424955
Provider Name
Nichole Kostiuk
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
24 Guild St, Norwood, MA, 33948-6038
Phone Number
781-551-2770
Fax Number
Provider Enumeration Date
06/11/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24 Guild St
City
Norwood
State
Massachusetts
Zip
02062-3425
Phone Number
781-551-2770
Fax Number
person
Provider Business Mailing Address Details
Address
24 Guild St
City
Norwood
State
Massachusetts
Zip
02062-3425
Phone Number
781-551-2770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
DN1859043 (Massachusetts)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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