Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICKALUS STEVENS, DMD
Active Sole ProprietorNICKALUS STEVENS, DMD is a Dentist healthcare provider located in WILLIMANTIC, Connecticut. NPI 1215601687 is currently active in the NPPES registry. Verify at CMS.
Dentist · WILLIMANTIC, CT
Registration Details
- NPI Number
- 1215601687
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2021 (4.8394302554072 yrs)
- Last Updated
- Aug 9, 2021
- License
-
13192 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1581 MAIN STWILLIMANTIC, CT, 062261134Browse CT providers · Browse ZIP 06226
- Phone
- 8604563214
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in WILLIMANTIC, CT
| Name | Credential | NPI |
|---|---|---|
| DAVID A. LAMOT | D.M.D. | 1376513184 |
| DR. JENIFFER LOUISE BAER | DMD | 1790984680 |
| DR. ANSHU S KUMAR | DDS | 1902064744 |
| ERIC NOEL MASER | DMD | 1558794610 |
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.