Nicholas John Dennery Ii, DMD is a medicare enrolled "Dentist" provider in Sebastopol, Mississippi. His current practice location is
1488 Hwy 487, Sebastopol, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 625-7403.
Nicholas John Dennery Ii is licensed to practice in Mississippi (license number 3633-12) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659626687.
Healthcare Provider's Profile
Full Name | Nicholas John Dennery Ii |
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Gender | Male |
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Speciality | Dentist |
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Location | 1488 Hwy 487, Sebastopol, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659626687
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 07/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 6204117724
- Enrollment ID: I20161221000811
Medical Identifiers
Medical identifiers for Nicholas John Dennery Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659626687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 3633-12 (Mississippi) | 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. Nicholas John Dennery Ii is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nicholas John Dennery Ii, DMD Po Box 150, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 | Nicholas John Dennery Ii, DMD 1488 Hwy 487, Sebastopol, MS 39359-0150 Ph: (601) 625-7403 |
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