Provider Demographics
NPI:1306671839
Name:NICHOLAS PROPP DDS, MSD, PLLC
Entity type:Organization
Organization Name:NICHOLAS PROPP DDS, MSD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:PROPP
Authorized Official - Suffix:
Authorized Official - Credentials:DE61361584
Authorized Official - Phone:406-207-1596
Mailing Address - Street 1:4374 BRANT CT
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8077
Mailing Address - Country:US
Mailing Address - Phone:406-207-1596
Mailing Address - Fax:
Practice Address - Street 1:2727 HOLLYCROFT ST STE 470
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-1312
Practice Address - Country:US
Practice Address - Phone:253-525-4122
Practice Address - Fax:253-525-4132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty