Active NPIIndividual provider

Dr. Nicholas A Vaillancourt, DMD

Dentist in Gloucester, Massachusetts

NPI Number1427541705
Practice location
123 Main St Ste 2, Gloucester, MA 01930-5766
Fax
978-879-4785
Last updated
June 22, 2022

Nicholas Andrew Vaillancourt is a Dentist based in Gloucester, MA. Nicholas Andrew Vaillancourt practices in Gloucester, MA and has the professional credentials of DMD. The NPI Number for Nicholas Andrew Vaillancourt is 1427541705 and holds a License No. DN1857949 (MA). The current practice location address for Nicholas Andrew Vaillancourt is 123 Main St Ste 2, Gloucester, MA 01930-5766 and can be reached out via phone at 860-371-6640 and via fax at 978-879-4785.

Provider Profile Details

NPI Number
1427541705
Provider Name
Nicholas Andrew Vaillancourt
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
123 Main St Ste 2, Gloucester, MA 01930-5766
Phone Number
860-371-6640
Fax Number
978-879-4785
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 11, 2018
Last Update Date
June 22, 2022
Certification Date
June 22, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Main St Ste 2
Gloucester, MA 01930-5766
Zip
01930-5766
Phone Number
860-371-6640
Fax Number
978-879-4785
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
123 Main St Ste 2
Gloucester, MA 01930-5766
City
Gloucester
State
MA
Zip
01930-5766
Phone Number
860-371-6640

License Information

License Number
DN1857949
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. Nicholas A Vaillancourt, DMD?

The NPI number of Dr. Nicholas A Vaillancourt, DMD is 1427541705. It was assigned on June 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicholas A Vaillancourt, DMD?

Dr. Nicholas A Vaillancourt, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1857949.

Where does Dr. Nicholas A Vaillancourt, DMD practice?

The practice location is 123 Main St Ste 2, Gloucester, MA 01930-5766. The office can be reached at 860-371-6640 (phone) or 978-879-4785 (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 1427541705 directly on the NPPES registry website.

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