Individual provider · Type 1 NPI
Corinne G. Nicolas
Orthodontics and Dentofacial Orthopedics Dentistry · Boston, MA
Practice location
1 Kneeland St
Boston, MA 02111-1527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | DL100802 (MA) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
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About NPI 1104716869
Corinne G. Nicolas's National Provider Identifier is 1104716869, issued on Jul 5, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Boston, MA. The record was last updated on Jul 30, 2025.