Individual provider · Type 1 NPI

Anne A. Nicholas, DDS

Periodontics · Palm Desert, CA

NPI number 1114049160 Active

Practice location

73929 Larrea St, Suite 2
Palm Desert, CA 92260-4305

Mailing address

75347 Montecito Dr
Indian Wells, CA 92210-8358

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X37966 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1114049160

Anne A. Nicholas, DDS's National Provider Identifier is 1114049160, issued on Apr 3, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Palm Desert, CA. The record was last updated on Jul 8, 2007.