Nicholas A. Fredericka D.m.d. Inc.

NPI 1013136746 - Dentist - 1223G0001X

NPI Details
NPI 1013136746
Enumeration Date 04/24/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NICHOLAS ANTHONY NICHOLAS
Position PRESIDENT
Phone (330) 652-6500
Fax (330) 652-6550
Practice Location
822 ROBBINS AVE
NILES OH, 44446-2432, US
Phone (330) 652-6500
Fax (330) 652-6550
Business Location
822 ROBBINS AVE
NILES OH, 44446-2432, US
Phone (330) 652-6500
Fax (330) 652-6550
Toxanomy
Taxonomy Code 1223G0001X
License State Ohio
License Number 30016140
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According to our database, Nicholas A. Fredericka D.m.d. Inc. NPI is 1013136746, taxonomy code is 1223G0001X and license number is 30016140, license state is located at Ohio. Nicholas A. Fredericka D.m.d. Inc. physically located at 822 Robbins Ave, Niles OH, 44446-2432. NPI Number 1033115704 has the healthcare provider type.

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1013136746 NPI number is provided on an as is basis without warranty of any kind. 1013136746 is maintained by the National Plan & Provider Enumeration System. The contents of Nicholas A. Fredericka D.m.d. Inc. are for informational purposes only.