# NICOLE M. ANCICH, DMD PLLC

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

## Provider details

- **NPI number:** 1801736400
- **Authorized official:** NICOLE M ANCICH DMD (OWNER/DENTIST)
- **Authorized official phone:** (253) 383-5636

## Contact information

- **Practice address:** 2208 N 30TH ST STE 201, TACOMA, WA 98403-3360
- **Practice address phone:** (253) 383-5636
- **Practice address fax:** (253) 274-0604
- **Mailing address:** 2208 N 30TH ST STE 201, TACOMA, WA 98403-3360
- **Mailing address phone:** (253) 383-5636
- **Mailing address fax:** (253) 274-0604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2026
- **Last updated:** 03/31/2026
