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Active NPI 1215601687 Individual Practitioner Male Practitioner

Dr. Nickalus Stevens , DMD

Dentist • Willimantic, CT

Professional Overview & Biography Verified Profile Summary

Dr. Nickalus Stevens, DMD is a registered healthcare professional specializing in Dentist in Willimantic, CT. Practice services are available at 1581 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1581 Main St

Willimantic, CT 062261134

Telephone 8604563214
Associated Practice Facility / Clinic
🏢 John W Stevens Dds Pc Facility NPI 1053000505

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Willimantic, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 12.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Willimantic, CT (912 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-08-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CT 13192

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1902064744

Doctor of Dental Surgery

Dr. John Stevens , DDS

Dentist - General Practice

NPI 1912012964

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2021

Registered at 1581 MAIN ST, WILLIMANTIC, CT 062261134 (Tel: 8604563214)

📍
Updated Business Mailing Address August 09, 2021

Registered at 1581 MAIN ST, WILLIMANTIC, CT 062261134 (Tel: 8604563214)

👤
Provider Name / Credentials Updated August 09, 2021

Recorded as NICKALUS STEVENS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2021

Dentist (License #13192 in CT)

🟢
Initial NPI Registration & Enumeration August 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215601687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2021
Last Update: August 09, 2021
Sole Proprietor: Yes

Mailing Address

1581 Main St

Willimantic, CT 062261134

Phone: 8604563214

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.