MEDICARE: DR. NICOLE HOVENCAMP DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN23349	FL

General Provider Information

NPI Number	:	1568955375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICOLE HOVENCAMP DMD

Provider Business Mailing Address
First Line	:	4904 CLYDE MORRIS BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4170
Country	:	US
Telephone Number	:	386-788-9959
Fax Number	:

Provider Business Practice Location Address
First Line	:	4904 CLYDE MORRIS BLVD
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4170
Country	:	US
Telephone Number	:	386-788-9959
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2018
Last Update Date	:	06/07/2018

Similar Medicare Providers

1174798433 — ORANGE COUNTY NEWBORN MEDICARE CARE PC
Practice Location Address:

3 SAINT STEPHENS PL , SUITE 2
WARWICK, NY
10990-3208

Practice Phone: 845-987-9700
Practice Fax:

1528140670 — DAVID W. LOWE D.D.S.,M.S.
Practice Location Address:

4904 S CLYDE MORRIS BLVD , SUITE A
PORT ORANGE, FL
32129-4170

Practice Phone: 386-304-0100
Practice Fax: 386-304-4546

1043416712 — RAMON GUTIERREZ A.P.
Practice Location Address:

4904 S CLYDE MORRIS BLVD , STE D2
PORT ORANGE, FL
32129-4170

Practice Phone: 386-898-0908
Practice Fax: 386-898-0242

1013113778 — MR. JACK VERHEES P.T.
Practice Location Address:

4904 S CLYDE MORRIS BLVD , STE D2
PORT ORANGE, FL
32129-4170

Practice Phone: 386-898-0908
Practice Fax: 386-898-0242

1508753773 — MARIO MAMDOUH TOMA DMD
Practice Location Address:

4904 CLYDE MORRIS BLVD
PORT ORANGE, FL
32129-4170

Practice Phone: 386-202-1278
Practice Fax:

1225478928 — NEW HOPE MINIISTRIES & COUNSELING, INC
Practice Location Address:

4170 S RIDGEWOOD AVE
PORT ORANGE, FL
32127-4519

Practice Phone: 386-310-7922
Practice Fax: 888-386-2024

Directions to “ DR. NICOLE HOVENCAMP DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.