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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Nicole Provenzano, DDS

Dentist in Astoria, NY · enumerated 2007 · practices at Astoria Modern Family Dental Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952591661

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Registry record

Entity type Individual (Type 1)
Name Dr. Nicole Provenzano
Credential DDS
Sex Female
Practice address Astoria, NY, 11103
Phone (718) 721-4700
Fax (718) 204-5641
Enumeration date Jul 29, 2007
Last updated in NPPES Nov 16, 2016

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

122300000X Dentist Dental Providers · License 050787 (NY) Primary
DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1952591661 active?
Yes, as of the latest NPPES snapshot, NPI 1952591661 is active (record last updated 2016-11-16).
How do I verify Nicole Provenzano's NPI record?
Cross-check NPI 1952591661 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-11-16.