Provider Demographics
NPI:1740493147
Name:NORTON, NIKKI (DMD)
Entity type:Individual
Prefix:DR
First Name:NIKKI
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9771 S EASTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-6800
Mailing Address - Country:US
Mailing Address - Phone:702-616-9655
Mailing Address - Fax:702-837-1302
Practice Address - Street 1:9771 S EASTERN AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-6800
Practice Address - Country:US
Practice Address - Phone:702-616-9655
Practice Address - Fax:702-837-1302
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist