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NICHOLAS H. PSIMOS, DDS, PLC
NPI 1770533531
Dentist - Oral and Maxillofacial Surgery in Rochester, MN

Active since May 11, 2006
1101 N BROADWAY, ROCHESTER, MN 55906(507) 288-0126(507) 529-0810 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas H. Psimos, Dds, Plc NPPES

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

NICHOLAS H. PSIMOS, DDS, PLC (NPI 1770533531) is a healthcare organization registered as an oral and maxillofacial surgery in Rochester, Minnesota and active in the NPI registry since May 2006. The organization lists Nicholas H. Psimos, Owner, as its authorized official.

NPPES Registry Identity

NPI1770533531
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameNICHOLAS H. PSIMOS, DDS, PLC
Location Address1101 N BROADWAYRochester, MN 55906-6841
Mailing Address1101 N BroadwayRochester, MN 55906-6841 · (507) 288-0126 · Fax (507) 529-0810
Phone(507) 288-0126
Fax(507) 529-0810
Organization SubpartNo
Authorized OfficialNicholas H. PsimosOwner · (507) 288-0126
Enumeration DateMay 11, 2006
Last NPPES UpdateMay 17, 2011
✔ NPI 1770533531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1101 N BROADWAY, Rochester, MN 55906
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Other Identifiers 8

Medicare ID-Type Unspecified190000453IA
Medicare ID-Type Unspecified190000453MN
Medicaid088575IA
Medicare UPINT91003MN
Medicaid324222600MN
Other1B261PSMN · Bcbs Mn
Other08865IA · Bcbs Ia
Medicare UPINI9641IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. NICHOLAS H. PSIMOS D.D.S, PLC
Dentist (Oral and Maxillofacial Surgery)
1101 N BROADWAY
ROCHESTER, MN 55906
Olmsted County (507) 288-0126

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 H. Psimos, Dds, Plc's NPI number?

The NPI number for Nicholas H. Psimos, Dds, Plc is 1770533531. It was assigned to this organization in the NPPES registry on May 11, 2006.

Where is Nicholas H. Psimos, Dds, Plc located?

Nicholas H. Psimos, Dds, Plc is located at 1101 N Broadway, Rochester, MN 55906. The listed phone number is (507) 288-0126.

What is Nicholas H. Psimos, Dds, Plc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Nicholas H. Psimos, Dds, Plc was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.