NICHOLE TATUM RDA
NPI 1710337605
Dental Assistant in Moreno Valley, CA

Q: What is Nichole Tatum's NPI number?

The NPI number for Nichole Tatum is 1710337605. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Q: What is Nichole Tatum's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Tatum was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 21, 2016

16088 GERANIUM CT, MORENO VALLEY, CA 92551(951) 229-9000 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Nichole Tatum Rda NPPES

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

NICHOLE TATUM RDA (NPI 1710337605) is an individual dental assistant in Moreno Valley, California, licensed in California (69826) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1710337605

Entity TypeIndividualFemale

Primary Taxonomy126800000X

Provider Legal NameNICHOLE TATUMCredential: RDA

Location Address16088 GERANIUM CTMoreno Valley, CA 92551-7292

Mailing Address16088 Geranium CtMoreno Valley, CA 92551-7292 · (951) 229-9000

Phone(951) 229-9000

Sole ProprietorYes

Enumeration DateJune 21, 2016

✔ NPI 1710337605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers

Taxonomy Code126800000X

License✔ Licensed in CA · 69826

Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

16088 GERANIUM CT, Moreno Valley, CA 92551

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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 Nichole Tatum's NPI number?

The NPI number for Nichole Tatum is 1710337605. It was assigned to this individual provider in the NPPES registry on June 21, 2016.

Where is Nichole Tatum located?

Nichole Tatum practices at 16088 Geranium Ct, Moreno Valley, CA 92551. The listed phone number is (951) 229-9000.

What is Nichole Tatum's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Nichole Tatum was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.