NICOLE L. CHRISTY DDS PC NPI 1033274071

NPI Information

  • NPI: 1033274071
  • Provider Name: NICOLE L. CHRISTY DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: BOURBON FAMILY DENTISTRY
  • CLIA Number: 15D0356479
  • Address: 909 N WASHINGTON ST
    BOURBON, IN
    ZIP 46504
  • Phone: (574) 342-4385

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NPI Details

NICOLE L. CHRISTY DDS PC is a general practice dentist in Bourbon, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. NICOLE L. CHRISTY DDS PC NPI is 1033274071. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bourbon Family Dentistry.

The provider's business location address is:

909 N WASHINGTON ST
BOURBON, IN
ZIP 46504-447
Phone: (574) 342-4385
Fax: (574) 342-0461

The provider's authorized official is Nicole Lynn Christy .
The authorized official title is Owner and has the following contact phone number (574) 342-4385.

The CLIA number assigned to this NPI record is 15D0356479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 7/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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