DR. FRANCISCO P. SAN NICOLAS JR. (NPI# 1457582991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457582991 |
| Entity Type | Individual |
| Full Name | DR. FRANCISCO P. SAN NICOLAS JR. |
| Credential | DMD |
| Practice Address |
222 Chalan Santo Papa St. The Reflection Center Ste. 301 Hagatra GU 96910 |
| Practice Telephone | 6714776235 |
| Practice Fax Number | 6714776237 |
| Mailing Telephone | 6714776235 |
| Mailing Fax Number | 6714776237 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
D-992 | GU | Dental Providers |
| Street Address |
222 CHALAN SANTO PAPA ST. THE REFLECTION CENTER STE. 301 |
| City | HAGATRA |
| State | GU |
| Zip Code | 96910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093909558 | The Dentists Clinic | Dentist | 761 S Marine Corps Drive, Suite A-2 Centam Building, Tamuning, GU 96913 | 2007-08-28 |
| 1871783670 | Sandra Marie Toerge | Dentist | 241 Condo Ln Apt 311, Tamuning, GU 96913-3141 | 2007-07-27 |
| 1033319538 | The Pediatric Dental Center | Dentist | 222 Chalan Santo Papa Ste 301, Hagatna, GU 96910 | 2007-07-23 |
| 1639200934 | Heesoo Ko | Dentist | 655 Harmon Loop Rd Ste 108, Dededo, GU 96929-6544 | 2007-03-08 |
| 1275186611 | Rayner D. Terlaje | Dentist | 250 Route 4 Ste 101, Hagatna, GU 96910-7110 | 2019-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.