Provider Demographics
NPI:1427878453
Name:PINTOS, NIKOLAS MATIAS (DDS)
Entity type:Individual
Prefix:DR
First Name:NIKOLAS
Middle Name:MATIAS
Last Name:PINTOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11067 SAN JUAN ST UNIT 2
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2789
Mailing Address - Country:US
Mailing Address - Phone:509-240-2726
Mailing Address - Fax:
Practice Address - Street 1:27949 GREENSPOT RD STE H
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:CA
Practice Address - Zip Code:92346-4444
Practice Address - Country:US
Practice Address - Phone:909-363-8770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1109381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice