Provider Demographics
NPI:1003369869
Name:OSTER, NICHOLAS CHARLES (DDS)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:CHARLES
Last Name:OSTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12171 W PARMER LN STE 101
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7362
Mailing Address - Country:US
Mailing Address - Phone:831-332-9660
Mailing Address - Fax:512-528-8903
Practice Address - Street 1:12171 W PARMER LN STE 101
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7362
Practice Address - Country:US
Practice Address - Phone:831-332-9660
Practice Address - Fax:512-528-8903
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX370901223G0001X
CA100271122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist