Jon D. Nickelsen, DDS

General Practice Dentistry · Elgin, IL

Individual Active NPI

NPI number 1124172465

Practice location

523 N McLean Blvd
Elgin, IL 60123-3269
Phone
(847) 742-8811
Fax
(847) 742-8818

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NPI record

NPI
1124172465
Entity type
Individual (Type 1)
Enumeration date
January 23, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — IL

About Dr. Nickelsen

Jon D. Nickelsen, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 523 N McLean Blvd, Elgin, IL 60123-3269. The NPI number 1124172465 was assigned on January 23, 2007 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Jon D. Nickelsen, DDS?

The NPI number is 1124172465.

What is the phone number of Dr. Nickelsen?

The phone number listed for the practice location is (847) 742-8811.

Where is Dr. Nickelsen located?

523 N McLean Blvd, Elgin, IL 60123-3269.

What is the taxonomy code for Dr. Nickelsen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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