Provider Demographics
NPI:1831481555
Name:KAIN, NICHOLAS J (DDS)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:J
Last Name:KAIN
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:130 LAKE CONCORD RD NE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-1918
Mailing Address - Country:US
Mailing Address - Phone:704-788-1192
Mailing Address - Fax:704-788-1178
Practice Address - Street 1:130 LAKE CONCORD RD NE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-1918
Practice Address - Country:US
Practice Address - Phone:704-788-1192
Practice Address - Fax:704-788-1178
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NC09932204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery