NPI 1003019589

John Lindsay Nicolette, DMD

Practitioner General Practice Dentistry Englewood, CO

Practice location

Address: 3510 S Marion St, Englewood, CO 80113-3951
Phone: (303) 789-3455
Fax: (303) 789-2649
Mailing address: 4366 W Lake Cir N, Littleton, CO 80123-6767

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 105311 (CO)

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Registry record

NPI: 1003019589
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.