MEDICARE: DR. ZENY NICKOLAS OCEAN DDS

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	845	NV

General Provider Information

NPI Number	:	1093094724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZENY NICKOLAS OCEAN DDS

Provider Business Mailing Address
First Line	:	1155 W 4TH ST
Second Line	:	SUITE 211
City	:	RENO
State	:	NV
Zip	:	89503-5172
Country	:	US
Telephone Number	:	775-329-1333
Fax Number	:	775-329-1335

Provider Business Practice Location Address
First Line	:	1155 W 4TH ST
Second Line	:	SUITE 211
City	:	RENO
State	:	NV
Zip	:	89503-5172
Country	:	US
Telephone Number	:	775-329-1333
Fax Number	:	775-329-1335

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

Provider Enumeration Date	:	08/11/2011
Last Update Date	:	08/11/2011

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