Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DENNIS CRANDALL NICOLA, D.D.S.
Active Sole ProprietorDR. DENNIS CRANDALL NICOLA, D.D.S. is a Dentist healthcare provider located in PORTLAND, Oregon. NPI 1619974607 is currently active in the NPPES registry. Verify at CMS.
Dentist · PORTLAND, OR
Registration Details
- NPI Number
- 1619974607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (21.070258074373 yrs)
- Last Updated
- Jul 25, 2014
- License
-
D5433 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 SW MOODY AVEPORTLAND, OR, 972015042Browse OR providers · Browse ZIP 97201
- Phone
- 5033464725
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARK MUTSCHLER | DDS, MS | 1467455360 |
| DR. MARY E FISCHER | D.M.D. | 1184622276 |
| DR. ROBERT L RODRIGUEZ | D.M.D. | 1295733046 |
| DR. DANIEL L RODRIGUEZ | D.D.S. | 1083612816 |
| RICHARD D MERCER | D.M.D. | 1679572424 |
| THERESA CALCAGNO | DMD | 1912906793 |
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.