Nicholas DO
Nicholas DO is a General Practice Dentistry in Crofton, Maryland. Licensed in Maryland. Registered with an NPI since 2022.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
1286 Maryland Rt 3 SCrofton, MD 21114-1339
Phone: (410) 721-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 17855 (MD) |
|---|
Record details
| NPI number | 1205576568 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2022 |
| Last updated in NPPES | June 27, 2023 |
| Certification date | June 24, 2022 |
| Mailing address | 12809 Pilots Landing Way, Gaithersburg, MD 20878-6118 |
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