Ms Nicole Marie Stull, DENTAL ASSISTANT is a
Dental Assistant based in Freehold, New Jersey. Ms Nicole Marie Stull is licensed to practice in New Jersey (license number 22D102593103) and her current practice location is
505 Stillwells Corner Rd. Suite C1, Freehold, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(732) 780-3300.
NPI number for Ms Nicole Marie Stull is 1831921147 and her current mailing address is 505 Stillwells Corner Rd. Suite C1, Freehold, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831921147.
Healthcare Provider's Profile
Full Name | Ms Nicole Marie Stull |
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Gender | Female |
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Speciality | Dental Assistant |
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Location | 505 Stillwells Corner Rd. Suite C1, Freehold, New Jersey |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831921147
- Provider Enumeration Date: 08/15/2024
- Last Update Date: 11/27/2024
Medical Identifiers
Medical identifiers for Ms Nicole Marie Stull such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831921147 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 22DI02593103 (New Jersey) | Secondary |
126800000X | Dental Assistant | 22D102593103 (New Jersey) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Marie Stull is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Nicole Marie Stull, DENTAL ASSISTANT 505 Stillwells Corner Rd. Suite C1, Freehold, NJ 07728 Ph: (732) 780-3300 | Ms Nicole Marie Stull, DENTAL ASSISTANT 505 Stillwells Corner Rd. Suite C1, Freehold, NJ 07728 Ph: (732) 780-3300 |
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