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NPI Code Detail

MEDICARE: NICOLE MARIE FIAMONCINI DMD

MEDICARE: NICOLE MARIE FIAMONCINI DMD
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 DentistryDS043190PA

General Provider Information

NPI Number : 1881274058
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARIE FIAMONCINI DMD
Provider Business Mailing Address
First Line : 113 PENTLAND AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15227-2503
Country : US
Telephone Number : 570-205-5142
Fax Number :
Provider Business Practice Location Address
First Line : 1910 E CARSON ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15203-1880
Country : US
Telephone Number : 412-381-3373
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2021
Last Update Date : 10/07/2022

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