Provider Demographics
NPI:1255317012
Name:LOKKO, NII NORTE (DMD)
Entity Type:Individual
Prefix:DR
First Name:NII NORTE
Middle Name:
Last Name:LOKKO
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 1:1332 POST RD STE 1A
Mailing Address - Street 2:
Mailing Address - City:WELLS
Mailing Address - State:ME
Mailing Address - Zip Code:04090-4562
Mailing Address - Country:US
Mailing Address - Phone:207-646-5297
Mailing Address - Fax:207-216-9308
Practice Address - Street 1:1332 POST RD STE 1A
Practice Address - Street 2:
Practice Address - City:WELLS
Practice Address - State:ME
Practice Address - Zip Code:04090-4562
Practice Address - Country:US
Practice Address - Phone:207-646-5297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3410122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30302978Medicaid
NHRE7901Medicare ID - Type Unspecified