Provider Demographics
NPI:1578602090
Name:CONTE, NICHOLAS RONALD JR (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:RONALD
Last Name:CONTE
Suffix:JR
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 1:17808 SANDCASTLE CV
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-4675
Mailing Address - Country:US
Mailing Address - Phone:302-500-2244
Mailing Address - Fax:
Practice Address - Street 1:20161 OFFICE CIRCLE
Practice Address - Street 2:SUITE 100
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947
Practice Address - Country:US
Practice Address - Phone:302-259-7832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG1-0001415261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental