Epifania V Nicolas
Organization Active NPI Dentist · Redlands, CA
NPI 1114376126 · NPPES record last updated Jun 9, 2016
Key facts
- NPI
- 1114376126
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 40290 (CA)
- Legal business name
- EPIFANIA V NICOLAS
- Practice address
- 414 Tenneese St
Redlands, CA 92373-8126 - Phone
- (909) 798-4000
- Fax
- (909) 798-5020
- NPI assigned
- Jun 9, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- NICOLAS DENTAL CORPORATION
Authorized official
- Name
- Dr. Epifania Viola Nicolas, D.D.S.
- Title
- Office Manager
- Phone
- (661) 845-2246
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Nicolas Dental Corporation
- Part of
- Nicolas Dental Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 40290 | CA | Yes |
Addresses
Primary practice location
414 Tenneese St
Redlands, CA 92373-8126
Mailing address
414 Tennessee St
Redlands, CA 92373-8163
Phone (909) 798-4000
Other names
- Nicolas Dental Corporation
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.