Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole R Stevenson, RDA

Individual provider Dental Assistant · NPI 1760709935

Nicole R Stevenson, RDA is a Dental Assistant in Jamestown Road, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2010
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Practice location Address checks out

17922 Shell Rd
Jamestown Road, CA 95327 Not confirmed with CMS for 16 years — call before visiting
Phone: (209) 890-5905
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X · Licence 74885 (CA)

Record details

NPI number1760709935
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDA
Sole proprietorYes
NPI enumeratedApril 28, 2010
Last updated in NPPESApril 28, 2010