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Nicholas T Nikchevich, DDS
Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California
NPI 1619509460

Nicholas T Nikchevich is a Oral and Maxillofacial Surgery (Dentist) based in Los Angeles, CA and is specialized in Oral and Maxillofacial Surgery. Nicholas T Nikchevich practices in Los Angeles, CA and has the professional credentials of DDS. The NPI Number for Nicholas T Nikchevich is 1619509460 and holds a License No. (California).

The current practice location address for Nicholas T Nikchevich is 1100 N State St Rm A3C, Los Angeles, CA and can be reached out via phone at 805-728-5583.

Location: 1100 N State St Rm A3C, Los Angeles, CA, 90039-2788
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619509460
Provider Name
Nicholas T Nikchevich
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1100 N State St Rm A3C, Los Angeles, CA, 90039-2788
Phone Number
805-728-5583
Fax Number
Provider Enumeration Date
02/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 N State St Rm A3C
City
Los Angeles
State
California
Zip
90033-5000
Phone Number
805-728-5583
Fax Number
person
Provider Business Mailing Address Details
Address
1100 N State St Rm A3C
City
Los Angeles
State
California
Zip
90033-5000
Phone Number
805-728-5583
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
105583 (California)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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.
()
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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