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

Dr. Nicole Provenzano, DDS

Individual provider Dentist · NPI 1952591661

Dr. Nicole Provenzano, DDS is a Dentist in Astoria, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3156 Steinway St
Astoria, NY 11103-3909
Phone: (718) 721-4700
Fax: (718) 204-5641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 050787 (NY)

Record details

NPI number1952591661
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2007
Last updated in NPPESNovember 16, 2016

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