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NPI Code Detail

MEDICARE: NIKET AMIN DDS

MEDICARE:   NIKET  AMIN  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
11223G0001XGeneral Practice Dentistry30-022059OH

Other Identifiers

General Provider Information

NPI Number : 1295881613
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKET AMIN DDS
Provider Business Mailing Address
First Line : 201 W 8TH ST
Second Line : SUITE 810
City : PUEBLO
State : CO
Zip : 81003-3038
Country : US
Telephone Number : 719-562-4447
Fax Number :
Provider Business Practice Location Address
First Line : 2830 COLERAIN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45225-2206
Country : US
Telephone Number : 513-591-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 12/27/2010

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Directions to “ NIKET AMIN DDS” Practice Location

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