MEDICARE: NICOLE OLIVARES 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	1223P0300X	Periodontics	D10020	OR
2	1223P0300X	Periodontics	64931	CA

General Provider Information

NPI Number	:	1720427651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE OLIVARES DDS

Provider Business Mailing Address
First Line	:	450 SUTTER ST RM 1314
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4002
Country	:	US
Telephone Number	:	415-781-7147
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 SUTTER ST RM 1314
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94108-4002
Country	:	US
Telephone Number	:	415-781-7147
Fax Number	:

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

Provider Enumeration Date	:	06/25/2013
Last Update Date	:	01/26/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1013027580 — NORMAN H EPSTEIN MD, JOHN H EPSTEIN MD, AND DENNY L TUFFANELLI MD, INC
Practice Location Address:

450 SUTTER ST , SUITE 1306
SAN FRANCISCO, CA
94108-4002

Practice Phone: 415-781-4083
Practice Fax: 415-781-4104

1255798856 — KIRK L PASQUINELLI DDS INC
Practice Location Address:

450 SUTTER ST RM 1314
SAN FRANCISCO, CA
94108-4002

Practice Phone: 415-781-7147
Practice Fax:

1609803386 — MARY LOWEN MD
Practice Location Address:

110 SUTTER ST , 6TH FLOOR
SAN FRANCISCO, CA
94104-4002

Practice Phone: 415-291-0480
Practice Fax: 415-291-0489

1497786883 — APOLLO MEDICAL GROUP
Practice Location Address:

110 SUTTER ST , SUITE 200
SAN FRANCISCO, CA
94104-4002

Practice Phone: 415-291-0480
Practice Fax: 415-291-0489

1881705978 — DR. MARICAR PACQUING DO
Practice Location Address:

110 SUTTER ST
SAN FRANCISCO, CA
94104-4002

Practice Phone: 201-424-7130
Practice Fax: 415-252-7176

Directions to “ NICOLE OLIVARES DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.