Individual provider · Type 1 NPI
Tim P. Nicolino, DDS
General Practice Dentistry · Des Moines, IA
NPI number
1104907385
Active
Practice location
1004 E Park Ave
Des Moines, IA 50315-2451
Fax (515) 244-2437
Mailing address
1004 E. Park Ave
Des Moines, IA 50315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 6914 (IA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1104907385
Tim P. Nicolino, DDS's National Provider Identifier is 1104907385, issued on Oct 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Des Moines, IA. The record was last updated on Jul 8, 2007.