Robert John Nicola is a Dentist in Portage, Michigan. Robert John Nicola practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert John Nicola is 1174662571. The last update date is 2007-07-08.
Robert John Nicola's current location address is 1522 W Centre Avenue, Portage, Michigan. You can contact this provider via phone number 2693276765 and fax number 2693271138. The mailing address for Robert John Nicola is 1522 W Centre Avenue, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert John Nicola |
|---|---|
| Address | 1522 W Centre Avenue, Portage, Michigan |
| Phone Number | 2693276765 |
| Fax Number | 2693271138 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1174662571 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1522 W Centre Avenue |
|---|---|
| City | Portage |
| State | Michigan (MI) |
| Post Code | 49024 |
| Phone Number | 2693276765 |
| Fax Number | 2693271138 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 2901009368 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code assigned to Robert John Nicola by the Centers for Medicare & Medicaid Services?
The Robert John Nicola has been issued the NPI (National Provider Identifier) 1174662571 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Robert John Nicola is physically located?
The Robert John Nicola is physically situated at the following address: 1522 W Centre Avenue, Portage, MI, 49024.
What is the Robert John Nicola's area of specialization and corresponding taxonomy classification?
The Robert John Nicola's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Robert John Nicola receive its 1174662571 assignment from the Centers for Medicare & Medicaid Services?
The Robert John Nicola was assigned its 1174662571 by the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date were the details pertaining to Robert John Nicola last refreshed?
The information related to the Robert John Nicola, including its address, specialty, and other relevant details, was last updated on 2007-07-08.