Individual provider · Type 1 NPI

Dale Charles Nickelsen, DDS

Pediatric Dentistry · Elgin, IL

NPI number 1265748149 Active

Practice location

860 Summit St, Ste 246
Elgin, IL 60120-5145

Fax (847) 695-9212

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019-012082 (IL)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1265748149

Dale Charles Nickelsen, DDS's National Provider Identifier is 1265748149, issued on Aug 30, 2010. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Elgin, IL. The record was last updated on Aug 30, 2010.