Active NPIIndividual providerSole proprietor

Dr. Nicole A Cividanes, DMD

Dentist, General Practice in Brewer, Maine

NPI Number1720335748
Practice location
182 Wilson St, Brewer, ME 04412-2028
Fax
207-989-1956
Last updated
January 10, 2023

Nicole Ariana Cividanes is a Dentist, General Practice based in Brewer, ME. Nicole Ariana Cividanes practices in Brewer, ME and has the professional credentials of DMD. The NPI Number for Nicole Ariana Cividanes is 1720335748 and holds a License No. 056190 (NY). The current practice location address for Nicole Ariana Cividanes is 182 Wilson St, Brewer, ME 04412-2028 and can be reached out via phone at 207-989-1952 and via fax at 207-989-1956.

Provider Profile Details

NPI Number
1720335748
Provider Name
Nicole Ariana Cividanes
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
182 Wilson St, Brewer, ME 04412-2028
Phone Number
207-989-1952
Fax Number
207-989-1956
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 8, 2012
Last Update Date
January 10, 2023
Certification Date
January 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
182 Wilson St
Brewer, ME 04412-2028
City
Brewer
State
Maine
Zip
04412-2028
Phone Number
207-989-1952
Fax Number
207-989-1956
Brewer, ME 04412Get directions →

Provider Business Mailing Address Details

Address
401 E 86TH St
Apt 15F
New York, NY 10028-6403
City
New York
State
NY
Zip
10028-6403
Phone Number
646-683-0202

License Information

License Number
056190
License State
NY
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Nicole A Cividanes, DMD?

The NPI number of Dr. Nicole A Cividanes, DMD is 1720335748. It was assigned on August 8, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Nicole A Cividanes, DMD?

Dr. Nicole A Cividanes, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 056190.

Where does Dr. Nicole A Cividanes, DMD practice?

The practice location is 182 Wilson St, Brewer, ME 04412-2028. The office can be reached at 207-989-1952 (phone) or 207-989-1956 (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 1720335748 directly on the NPPES registry website.

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