DR. NILES NICOLO


Address: 834 Chestnut St, Suite 415, Philadelphia, PA 19107-5127
Phone: 2159558828

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist DS-020422-L PA Dental Providers

Office Location

Street Address 834 CHESTNUT ST
SUITE 415
City PHILADELPHIA
State PA
Zip Code 19107-5127

Providers in the same location

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
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Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy 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: 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

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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
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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