Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ATHAS NICHOLAS KOMETAS, DMD
Active Sole ProprietorDR. ATHAS NICHOLAS KOMETAS, DMD is a General Dentistry healthcare provider located in DAYTONA BEACH SHORES, Florida. NPI 1063663722 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · DAYTONA BEACH SHORES, FL
Registration Details
- NPI Number
- 1063663722
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2008 (17.883357939793 yrs)
- Last Updated
- Sep 30, 2008
- License
-
DN11431 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3162 S ATLANTIC AVESUITE CDAYTONA BEACH SHORES, FL, 321186286Browse FL providers · Browse ZIP 32118
- Phone
- 3867600030
- Fax
- 3867883873
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in DAYTONA BEACH SHORES, FL
| Name | Credential | NPI |
|---|---|---|
| DR. DOUGLAS RAY DENISON | DMD | 1952469926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.