Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT NIDEA
ActiveROBERT NIDEA is a Dentist healthcare provider located in SOUTH HOLLAND, Illinois. NPI 1790845725 is currently active in the NPPES registry. Verify at CMS.
Dentist · SOUTH HOLLAND, IL
Registration Details
- NPI Number
- 1790845725
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2006 (19.688693669646 yrs)
- Last Updated
- Aug 16, 2016
- Licenses
-
22529 (TX)019-022446 (IL)
Practice Information
- Address
-
16280 PRINCE DRSOUTH HOLLAND, IL, 604733233Browse IL providers · Browse ZIP 60473
- Phone
- 7082251866
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
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.