Provider Demographics
NPI:1447359120
Name:NEMCIC, STEVEN D (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:NEMCIC
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 WALKER RD
Mailing Address - Street 2:STE A
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2759
Mailing Address - Country:US
Mailing Address - Phone:302-734-1950
Mailing Address - Fax:302-734-4097
Practice Address - Street 1:910 WALKER RD
Practice Address - Street 2:STE A
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2759
Practice Address - Country:US
Practice Address - Phone:302-734-1950
Practice Address - Fax:302-734-4097
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEG10008871223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics