NICHOLAS MICKELSON LLC
NPI 1679178271
Clinic/Center - Dental in Tampa, FL

Q: What is Nicholas Mickelson LLC's NPI number?

The NPI number for Nicholas Mickelson LLC is 1679178271. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Nova Dental.

Q: What is Nicholas Mickelson LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since December 01, 2020

13612 W HILLSBOROUGH AVE, TAMPA, FL 33635(813) 444-7502 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicholas Mickelson Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS MICKELSON LLC (NPI 1679178271), doing business as Nova Dental, is a healthcare organization registered as a dental in Tampa, Florida and active in the NPI registry since December 2020. The organization lists Maisa Bicudo Mickelson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679178271

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameNICHOLAS MICKELSON LLC

Location Address13612 W HILLSBOROUGH AVETampa, FL 33635-9638

Mailing Address8805 Rustic Trail CtTampa, FL 33635-1557 · (813) 616-9019

Phone(813) 444-7502

Organization SubpartNo

Authorized OfficialMaisa Bicudo MickelsonOffice Manager · (813) 616-9019

Enumeration DateDecember 1, 2020

NPPES CertifiedNovember 30, 2020

✔ NPI 1679178271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

13612 W HILLSBOROUGH AVE, Tampa, FL 33635

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Other Names 1

Doing Business AsNova Dental

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA ZAMBRANO DMD

Dentist (General Practice)

13612 W HILLSBOROUGH AVE
TAMPA, FL 33635

Hillsborough County (813) 510-3156

DR. GIANINA SALTON MATTEVI DDS

Dentist (General Practice)

13612 W HILLSBOROUGH AVE
TAMPA, FL 33635

Hillsborough County (813) 510-3156

SAED STEEVE SAYEGH

Dentist

13612 W HILLSBOROUGH AVE
TAMPA, FL 33635

Hillsborough County (813) 510-3156

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Mickelson LLC's NPI number?

The NPI number for Nicholas Mickelson LLC is 1679178271. It was assigned to this organization in the NPPES registry on December 1, 2020. The provider is doing business as Nova Dental.

Where is Nicholas Mickelson LLC located?

Nicholas Mickelson LLC is located at 13612 W Hillsborough Ave, Tampa, FL 33635. The listed phone number is (813) 444-7502.

What is Nicholas Mickelson LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Nicholas Mickelson LLC was last updated on December 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.