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NPI Code Detail

MEDICARE: AARON ANDREW NICHOLAS DDS

MEDICARE:   AARON ANDREW NICHOLAS  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 Dentistry10043MD

General Provider Information

NPI Number : 1720298920
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON ANDREW NICHOLAS DDS
Provider Business Mailing Address
First Line : 3905 NATIONAL DR
Second Line : SUITE 170
City : BURTONSVILLE
State : MD
Zip : 20866-1100
Country : US
Telephone Number : 301-989-0088
Fax Number : 301-989-9508
Provider Business Practice Location Address
First Line : 3905 NATIONAL DR
Second Line : SUITE 170
City : BURTONSVILLE
State : MD
Zip : 20866-1100
Country : US
Telephone Number : 301-989-0088
Fax Number : 301-989-9508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ AARON ANDREW NICHOLAS DDS” Practice Location

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