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

Dr. Nicole Maria Pena, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356970198

Dr. Nicole Maria Pena, DMD is a Student in an Organized Health Care Education/Training Program in Fort Lauderdale, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1209 W Broward Blvd
Fort Lauderdale, FL 33312-1640
Phone: (954) 763-3358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 987 N University Dr, Coral Springs, FL 33071-7048 — (954) 753-4005
  • 2100 Stantonsburg Rd, Greenville, NC 27834-2818 — (252) 737-7834

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 25547 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356970198
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedApril 3, 2020
Last updated in NPPESMarch 20, 2024
Certification dateMarch 20, 2024

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