Charles A. Nickou, D.m.d LLC

NPI #1366998163 in Newburyport, Massachusetts

Provider Information

NPI Number: 1366998163
Entity Type: Organization
Organization Name: Charles A. Nickou, D.m.d LLC
Primary Specialty: Dentist
Enumeration Date: Aug 31, 2016
Last Updated: Aug 31, 2016

Practice Location

Address: 16 HARRIS STREET
City: Newburyport
State: Massachusetts
ZIP Code: 01950
Phone: (978) 462-9643

Authorized Official

Name: DR. CHARLES A NICKOU, D.M.D
Title: DENTIST/OWNER
Phone: (978) 462-9643

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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