Nicholas Mickelson LLC
Nicholas Mickelson LLC is a Dental Clinic/Center in Tampa, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
13612 W Hillsborough AveTampa, FL 33635-9638
Phone: (813) 444-7502
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1679178271 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maisa Mickelson — Office Manager · (813) 616-9019 |
| Other names | Nova Dental |
| NPI enumerated | December 1, 2020 |
| Last updated in NPPES | December 1, 2020 |
| Certification date | November 30, 2020 |
| Mailing address | 8805 Rustic Trail Ct, Tampa, FL 33635-1557 |
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