DR. NILES NICOLO (NPI# 1710948500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710948500 |
Entity Type | Individual |
Full Name | DR. NILES NICOLO |
Credential | DDS |
Practice Address |
834 Chestnut St Suite 415 Philadelphia PA 19107-5127 |
Practice Telephone | 2159558828 |
Practice Fax Number | 2159280450 |
Mailing Telephone | 2159558828 |
Mailing Fax Number | 2159280450 |
Enumeration Date | 2006-03-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | DS-020422-L | PA | Dental Providers |
Street Address |
834 CHESTNUT ST SUITE 415 |
City | PHILADELPHIA |
State | PA |
Zip Code | 19107-5127 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215471495 | Alisa Hayes | Speech-Language Pathologist | 834 Chestnut St, Ph 206, Philadelphia, PA 19107-5127 | 2016-12-07 |
1659735181 | Brent Monseur | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2016-04-11 |
1265896740 | Ryan Edward Austin | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite G-114, Philadelphia, PA 19107-5127 | 2016-04-11 |
1750744017 | Cheryl Lynn Godcharles | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2016-04-03 |
1518327063 | Nicole Clement Bieler | Nurse Practitioner | 834 Chestnut St, #306, Philadelphia, PA 19107-5127 | 2016-02-25 |
1487034179 | Ariana Mason | Dentist | 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127 | 2015-06-08 |
1508243379 | Juliana Guarente | Student in an Organized Health Care Education/Training Program | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-30 |
1750768792 | Laura Felder | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-28 |
1639566888 | Shelly Sood | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-24 |
1255727491 | Talia Maas | Obstetrics & Gynecology | 834 Chestnut St, Suite 300, Philadelphia, PA 19107-5127 | 2015-04-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578170940 | Stephanie Quist | Pharmacist | 1 S Broad Street, Philadelphia, PA 19107 | 2020-09-29 |
1457968448 | Cloudline Physical Therapy LLC | Physical Therapist | 239-241 South 10th St, Philadelphia, PA 19107 | 2020-09-24 |
1053931303 | Wilson Wong | Pharmacist | Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 | 2020-04-16 |
1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
1639632185 | Taylor D'amore | Orthopaedic Surgery | 925 Chest Street 5th Floor, Philadelphia, PA 19107 | 2019-04-11 |
1043779630 | Heather Lynn Yenser | Nurse Practitioner | 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 | 2019-03-14 |
1174093702 | Jennifer Lynn Kengeter | Psychologist | 900 Walnut Street, Suite 200, Philadelphia, PA 19107 | 2018-11-27 |
1649751843 | Rachel Wint | Physician Assistant | 231 N Broad St Fl 2, Philadelphia, PA 19107 | 2018-08-24 |
1922588623 | Hyung Bin Lee | Dentist | 315 N 12th St, Apt 803, Philadelphia, PA 19107 | 2018-08-21 |
1750860490 | Anastasiya Khlypnych | Physician Assistant | 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 | 2018-08-13 |
Find all providers in zip 19107 |
Taxonomy Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396351318 | Mostafa Alwakeel | Dentist | 5450 Wissahickon Ave Apt B232, Philadelphia, PA 19144-5404 | 2020-09-16 |
1811508922 | Eleine Laffita Aguilera | Dentist | 4040 Spruce St Apt 5, Philadelphia, PA 19104-4130 | 2020-08-12 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
1578172128 | Selena Nguyen | Dentist | 4837 N Broad St, Philadelphia, PA 19141-2107 | 2020-07-29 |
1447869235 | Artistic Smile LLC | Dentist | 2801 Island Ave Ste 5, Philadelphia, PA 19153-2326 | 2020-07-28 |
1619585270 | Dentist Near Me Pllc | Dentist | 1603 South St, Philadelphia, PA 19146-1541 | 2020-07-20 |
1073121281 | Olga Stepanchenko | Dentist | 1919 Bowler St, Philadelphia, PA 19115-3211 | 2020-07-14 |
1578101630 | Maryam Khalili | Dentist | 3223 N Broad St Ofc 314, Philadelphia, PA 19140-5007 | 2019-12-19 |
1952947152 | Navy Yard Dental Associates, Pllc | Dentist | 1 Crescent Dr Ste 300, Philadelphia, PA 19112-1015 | 2019-11-22 |
1518502632 | Rujuta Shukla | Dentist | 4055 Ridge Ave Apt 8402, Philadelphia, PA 19129-1666 | 2019-11-12 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19107 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.