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NPI Code Detail

MEDICARE: NICOLE CLAIRE MCNEAR D.M.D.

MEDICARE:   NICOLE CLAIRE MCNEAR  D.M.D.
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
11223P0221XPediatric Dentistry10296CO

General Provider Information

NPI Number : 1154638328
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE CLAIRE MCNEAR D.M.D.
Provider Business Mailing Address
First Line : 905 W 124TH AVE STE 190
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-1716
Country : US
Telephone Number : 303-280-9036
Fax Number : 303-280-2514
Provider Business Practice Location Address
First Line : 905 W 124TH AVE STE 190
Second Line :
City : WESTMINSTER
State : CO
Zip : 80234-1716
Country : US
Telephone Number : 303-280-9036
Fax Number : 303-280-2514
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2010
Last Update Date : 09/08/2010

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Directions to “ NICOLE CLAIRE MCNEAR D.M.D.” Practice Location

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