Provider Demographics
NPI:1386656387
Name:FLEURY, NICHOLAS (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:FLEURY
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 1:60 WHITTIER HWY
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MOULTONBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03254-3684
Mailing Address - Country:US
Mailing Address - Phone:603-253-4361
Mailing Address - Fax:603-253-4147
Practice Address - Street 1:60 WHITTIER HWY
Practice Address - Street 2:SUITE #1
Practice Address - City:MOULTONBORO
Practice Address - State:NH
Practice Address - Zip Code:03254-3684
Practice Address - Country:US
Practice Address - Phone:603-253-4361
Practice Address - Fax:603-253-4147
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH33041223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice