Individual provider · Type 1 NPI

Nicole Provenzano, DDS

Dentist · Astoria, NY

NPI number 1952591661 Active

Practice location

3156 Steinway St
Astoria, NY 11103-3909

Fax (718) 204-5641

Mailing address

8046 Jamaica Ave
Woodhaven, NY 11421-1901

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X050787 (NY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1952591661

Nicole Provenzano, DDS's National Provider Identifier is 1952591661, issued on Jul 29, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Astoria, NY. The record was last updated on Nov 16, 2016.