Organization
NICHOLAS MICKELSON LLC
Active
Other names
Nova Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAISA BICUDO MICKELSON (OFFICE MANAGER)
(813) 616-9019
Entity
Organization
Contact information
Practice address
13612 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 444-7502
Mailing address
8805 RUSTIC TRAIL CT, TAMPA, FL 33635-1557
(813) 616-9019
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us