Provider Demographics
NPI:1841185063
Name:NITCHEU, CHRISTIANE (DMD)
Entity type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:
Last Name:NITCHEU
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY FORD
Mailing Address - State:CO
Mailing Address - Zip Code:81067-2127
Mailing Address - Country:US
Mailing Address - Phone:719-254-7623
Mailing Address - Fax:
Practice Address - Street 1:903 S 12TH ST
Practice Address - Street 2:
Practice Address - City:ROCKY FORD
Practice Address - State:CO
Practice Address - Zip Code:81067-2127
Practice Address - Country:US
Practice Address - Phone:719-254-7623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00206370122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist