Steven Earl Nicholson, DMD | |
14 S Cedar St, Hazleton, PA 18201-6602 | |
(570) 455-6275 | |
Not Available |
Full Name | Steven Earl Nicholson |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 14 S Cedar St, Hazleton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881794386 | NPI | - | NPPES |
0017194170001 | Other | PA | MEDICAL ACCESS |
0008024 | Other | PA | DORAL-AMERIHEALTH MERCY |
000000020320 | Other | PA | GATEWAY |
85672 | Other | PA | UNISON MED PLUS |
761232 | Other | PA | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS-028823-L (Pennsylvania) | Primary |
Entity Name | Steven E Nicholson Dmd Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164054565 PECOS PAC ID: 3678903549 Enrollment ID: O20200416000349 |
Mailing Address | Practice Location Address |
---|---|
Steven Earl Nicholson, DMD 324 Saint Johns Rd, Drums, PA 18222-1607 Ph: (570) 788-4974 | Steven Earl Nicholson, DMD 14 S Cedar St, Hazleton, PA 18201-6602 Ph: (570) 455-6275 |
Dr. Gerald Edward Williams, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 604 W Diamond Ave, Hazleton, PA 18201 Phone: 570-459-9950 Fax: 570-459-1324 | |
Dr. Joseph Mark Banyas, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 919 W 15th St, Hazleton, PA 18201 Phone: 570-454-1665 Fax: 570-501-2589 | |
Dr. Samuel Kaminsky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 121 Airport Rd, 100 Laurel Prof. Bldg., Hazleton, PA 18202 Phone: 570-454-5101 | |
Dr. Gerald A Brazzo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 255 West Diamond Ave, Hazleton, PA 18201 Phone: 570-454-0783 Fax: 570-454-4609 | |
Dr. Joseph A Albertine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 239 Muir Ave, Hazleton, PA 18201 Phone: 570-455-4858 | |
Dr. Anthomy Joseph Dangelo Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 W Broad St Suite 503, Hazleton, PA 18201 Phone: 570-454-3820 Fax: 570-454-0321 | |
Mr. John William Capparell, Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 N Laurel St, Suite 2-c, Hazleton, PA 18201 Phone: 570-454-9600 |