Chelenza, Nicholas Joseph

Chelenza, Nicholas Joseph is an sole proprietor health care provider with primary practice located at 4417 W Gore Blvd Suite 11, Lawton OK 73505-5978. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Chelenza, Nicholas Joseph can be contacted via phone (580) 248-8418.

Contact Information

Primary practice address
4417 W Gore Blvd Suite 11 Lawton OK 73505-5978
Phone: (580) 248-8418
Fax: (580) 248-4118
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4781 Oklahoma

Profile Details

NPI number 1467551150
LBN Legal business name Chelenza, Nicholas Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Jun 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467551150 NPPES
Oklahoma MEDICAID 100011060A

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