Provider Demographics
NPI:1043998297
Name:LENKER, NICHOLAS DEAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:DEAN
Last Name:LENKER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8754 WINDY ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-8053
Mailing Address - Country:US
Mailing Address - Phone:703-981-6308
Mailing Address - Fax:
Practice Address - Street 1:1112 NC HIGHWAY 210
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460-9139
Practice Address - Country:US
Practice Address - Phone:910-741-1555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13380122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist