Active NPIIndividual providerSole proprietor

Dr. Charles A Nickou, DMD

Dentist in Newburyport, Massachusetts

NPI Number1679792006
Practice location
16 Harris St, Newburyport, MA 01950-2603
Fax
978-462-6167
Last updated
July 8, 2007

Charles A Nickou is a Dentist based in Newburyport, MA. Charles A Nickou practices in Newburyport, MA and has the professional credentials of DMD. The NPI Number for Charles A Nickou is 1679792006 and holds a License No. 15915 (MA). The current practice location address for Charles A Nickou is 16 Harris St, Newburyport, MA 01950-2603 and can be reached out via phone at 978-462-9643 and via fax at 978-462-6167.

Provider Profile Details

NPI Number
1679792006
Provider Name
Charles A Nickou
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
16 Harris St, Newburyport, MA 01950-2603
Phone Number
978-462-9643
Fax Number
978-462-6167
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Harris St
Newburyport, MA 01950-2603
Zip
01950-2603
Phone Number
978-462-9643
Fax Number
978-462-6167
Newburyport, MA 01950Get directions →

Provider Business Mailing Address Details

Address
25 Boston RD
Newbury, MA 01951-1602
City
Newbury
State
MA
Zip
01951-1602
Phone Number
978-465-1878

License Information

License Number
15915
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. Charles A Nickou, DMD?

The NPI number of Dr. Charles A Nickou, DMD is 1679792006. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles A Nickou, DMD?

Dr. Charles A Nickou, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 15915.

Where does Dr. Charles A Nickou, DMD practice?

The practice location is 16 Harris St, Newburyport, MA 01950-2603. The office can be reached at 978-462-9643 (phone) or 978-462-6167 (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 1679792006 directly on the NPPES registry website.

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