Provider Demographics
NPI:1134332026
Name:DUNDEE, NICHOLAS JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:JOSEPH
Last Name:DUNDEE
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 1:326 DEL PRADO BLVD N STE 302
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2288
Mailing Address - Country:US
Mailing Address - Phone:239-574-5555
Mailing Address - Fax:239-574-8328
Practice Address - Street 1:326 DEL PRADO BLVD N STE 302
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2288
Practice Address - Country:US
Practice Address - Phone:239-574-5555
Practice Address - Fax:239-574-8328
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN85011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice