Nicole Annette Contreras, RDH

Individual provider Active NPI Dental Hygienist · Firestone, CO

NPI 1801023098 · NPPES record last updated Jun 16, 2009

Key facts

NPI
1801023098
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
904454 (CO)
Practice address
6160 Firestone Blvd
Suite 105
Firestone, CO 80504-6427
Phone
(303) 532-3371
Fax
(303) 532-3375
NPI assigned
Jun 16, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
904454COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Firestone Dental Care, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 904454 CO Yes

Addresses

Primary practice location

6160 Firestone Blvd
Suite 105
Firestone, CO 80504-6427

Mailing address

6160 Firestone Blvd
Suite 105
Firestone, CO 80504-6427
Phone (303) 532-3371

Other providers in Firestone, CO

All providers in Firestone, CO · Dental Hygienist in Colorado

Sources for this page

Verify at the official NPI Registry.