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

Nichole Tatum, RDA

Individual provider Dental Assistant · NPI 1710337605

Nichole Tatum, RDA is a Dental Assistant in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

16088 Geranium Ct
Moreno Valley, CA 92551-7292
Phone: (951) 229-9000
Show map & directions

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

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 69826 (CA)

Record details

NPI number1710337605
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorYes
NPI enumeratedJune 21, 2016
Last updated in NPPESJune 21, 2016
Mailing address16088 Geranium Ct, Moreno Valley, CA 92551-7292

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