Healthcare Provider Details

I. General information

NPI: 1124488788
Provider Name (Legal Business Name): NICOLE CHEEK D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2016
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20032-1503
US

IV. Provider business mailing address

1322 HALF ST SW APT 301
WASHINGTON DC
20024-4100
US

V. Phone/Fax

Practice location:
  • Phone: 202-276-4964
  • Fax:
Mailing address:
  • Phone: 202-276-4964
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN1001430
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: