Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas Anthony Avianto, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1831758663

Dr. Nicholas Anthony Avianto, DMD is a Student in an Organized Health Care Education/Training Program in Bloomfield, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bloomfield, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 13123 E 16th Ave # 240, Aurora, CO 80045-7106 — (720) 777-4044

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22DI02859400 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1831758663
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 5, 2019
Last updated in NPPESJanuary 17, 2023
Certification dateJanuary 17, 2023

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