Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole M Jane, DDS, MS, PC

Organization Dental Clinic/Center · NPI 1073840039

Nicole M Jane, DDS, MS, PC is a Dental Clinic/Center in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

965 Tahoe Keys Blvd
South Lake Tahoe, CA 96150-7161
Phone: (530) 541-6585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 53320 (CA)

Record details

NPI number1073840039
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Jane — Orthodontist/President · (530) 541-6585
NPI enumeratedNovember 12, 2009
Last updated in NPPESNovember 12, 2009
Mailing address965 Tahoe Keys Blvd, South Lake Tahoe, CA 96150-7161

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