Individual provider · Type 1 NPI

Melissa Nickeson, RDA

Dental Assistant · Clovis, CA

NPI number 1396217998 Active

Practice location

1900 Shaw Ave Ste 101
Clovis, CA 93611-4209

Call (559) 439-5300 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1396217998

Melissa Nickeson, RDA's National Provider Identifier is 1396217998, issued on Dec 19, 2018. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Clovis, CA. The record was last updated on Sep 29, 2026.