Tim P Nicolino in Des Moines - General Practice

Tim P Nicolino - NPI 1104907385

Tim P Nicolino is a General Practice in Des Moines, Iowa. Tim P Nicolino practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tim P Nicolino is 1104907385. The last update date is 2007-07-08.

Tim P Nicolino's current location address is 1004 E. Park Ave, Des Moines, Iowa. You can contact this provider via phone number 5152447428 and fax number 5152442437. The mailing address for Tim P Nicolino is 1004 E. Park Ave, Des Moines, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Tim P Nicolino
Address 1004 E. Park Ave, Des Moines, Iowa
Phone Number 5152447428
Fax Number 5152442437
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1104907385
Provider Enumeration Date 2006-10-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1004 E. Park Ave
City Des Moines
State Iowa (IA)
Post Code 50315
Phone Number 5152447428
Fax Number 5152442437

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 6914
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Tim P Nicolino

What is the unique provider identifier assigned to Tim P Nicolino?

The Tim P Nicolino has been issued the NPI (National Provider Identifier) 1104907385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Tim P Nicolino is geographically located?

The Tim P Nicolino is physically situated at the following location: 1004 E. Park Ave, Des Moines, IA, 50315.

What is the Tim P Nicolino's area of specialization and corresponding taxonomy classification?

The Tim P Nicolino's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When was the Tim P Nicolino's 1104907385 issued?

The Tim P Nicolino's 1104907385 was issued on 2006-10-17.

When was the information related to Tim P Nicolino most recently updated or refreshed?

The details pertaining to the Tim P Nicolino, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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