Ives, Nicholas Dane

Ives, Nicholas Dane is an individual health care provider with primary practice located at 3430 College Ave , Alton IL 62002-5006. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ives, Nicholas Dane can be contacted via phone (212) 732-7400.

Contact Information

Primary practice address
3430 College Ave Alton IL 62002-5006
Phone: (212) 732-7400
Fax: (212) 732-0267
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 052308 New York
Dental Providers / General Practice 1223G0001X 19026993 Illinois

Profile Details

NPI number 1528027851
LBN Legal business name Ives, Nicholas Dane
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated May 12th, 2015 - 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 1528027851 NPPES
New York MEDICAID 02677425

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