Nicole Cividanes DMD PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NICOLE CIVIDANES DMD PLLC

Practice address

182 Wilson St
Brewer, ME 04412-2028

Phone

(207) 989-1952

NPI assigned

Oct 26, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicole Cicidanes, DMD

Title

Owner

Phone

(207) 989-1952

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Ariana Cividanes, DMD

  • General Practice Dentistry
  • Brewer, ME
  • NPI 1720335748
  NPD (past)
• William Rackliff Risser, DMD

  • General Practice Dentistry
  • Brewer, ME
  • NPI 1760568349
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1861944779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 WILSON ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122028",
            "telephone_number": "207-989-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WILSON ST",
            "city": "BREWER",
            "state": "ME",
            "postal_code": "044122028",
            "telephone_number": "207-989-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE CIVIDANES DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "CICIDANES",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-989-1952",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Murphy, LMT
• Nancy L Murray, OD
• Samah Osman Musa, M.D.
• Christine A Nealley, FNP
• New Health P a
• Caitlin M Niedzialkowski, CRNA
• Colleen M Nilan, M.S. CCC-SLP
• Northeast Dental Partners, PA
• Northeast Radiation Oncology PA
• Northeast Radiation Oncology PA

• Dentist in Brewer, ME
• Providers in Brewer, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.