NPI 1942997176 · live from the CMS NPI Registry
Johnny Nico Atencio, BS
Dentist in Dover Afb, DE. National Provider Identifier 1942997176, active.
NPI record
| NPI | 1942997176 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist 122300000X |
| Practice location | 300 Tuskegee Blvd, Dover Afb, DE 19902 |
| Practice phone | 302-730-4633 |
| Enumerated | April 18, 2023 |
| Last updated | July 29, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — |
| Dentist primary | 122300000X | DEN.00205615 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.