# NICKEL PEDIATRIC DENTISTRY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548902752
- **Authorized official:** ANDREW NICKEL DDS (PEDIATRIC DENTIST)
- **Authorized official phone:** (949) 500-7547

## Contact information

- **Practice address:** 2145 INDIAN RIVER BLVD STE B, VERO BEACH, FL 32960-5218
- **Practice address phone:** (772) 242-9949
- **Mailing address:** 925 TURTLE COVE LN, VERO BEACH, FL 32963-2323
- **Mailing address phone:** (949) 500-7447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 04/08/2022