Individual
ANNA E NIKITKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
980 RIDGE RD, WEBSTER, NY 14580-2965
(585) 460-3281
Mailing address
980 RIDGE RD, WEBSTER, NY 14580-2965
(585) 460-3281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060440
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
01/19/2026
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