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

DR. NICHOLAS STEPHEN JAKSIC, DDS

Active Sole Proprietor

DR. NICHOLAS STEPHEN JAKSIC, DDS is a General Dentistry healthcare provider located in SAN PEDRO, California. NPI 1285656645 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SAN PEDRO, CA

Registration Details

NPI Number
1285656645
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2006 (20.029451617525 yrs)
Last Updated
Jun 19, 2008
License
38058 (CA)
Sole Proprietor
Yes

Practice Information

Address
1360 WEST 6TH STREET
SUITE 285
SAN PEDRO, CA, 90732
Browse CA providers · Browse ZIP 90732
Phone
3108321181
Fax
3108323722
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Providers in SAN PEDRO, CA

Name Credential NPI
DR. SHEILA LYNNE BARRON-JACOBS D.D.S. 1063413490
DR. HSIAO P PENG D.D.S. 1457330201
DR. ANTHONY FRANCIS RUBINO D.D.S. 1306864020
DR. SUSAN ANN SHEETS DDS 1730193517
DR. VINCENT MATTHEW MARDESICH DDS. 1235242306
DR. ALIDA BRSCIC-BIASI D.D.S. 1326141292
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.