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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DALE CHARLES NICKELSEN, D.D.S.

Active

DR. DALE CHARLES NICKELSEN, D.D.S. is a Pediatric Dentistry healthcare provider located in ELGIN, Illinois. NPI 1265748149 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · ELGIN, IL

Registration Details

NPI Number
1265748149
Provider Type
Individual
Gender
Male
NPI Issued
Aug 30, 2010 (15.975206460067 yrs)
Last Updated
Aug 30, 2010
License
019-012082 (IL)

Practice Information

Address
860 SUMMIT ST
STE 246
ELGIN, IL, 601205145
Browse IL providers · Browse ZIP 60120
Phone
8476951693
Fax
8476959212
Primary Specialty
Pediatric Dentistry
1223P0221X

Other Pediatric Dentistry Providers in ELGIN, IL

Name Credential NPI
DR. HARRY O CHANNON SR. D.D.S. 1497185185
DR. JUSTIN J. BAIK DMD 1417512104
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.