DR. ATHAS NICHOLAS KOMETAS DMD NPI 1063663722

NPI Information

  • NPI: 1063663722
  • Provider Name: DR. ATHAS NICHOLAS KOMETAS, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 3162 S ATLANTIC AVE
    SUITE C
    DAYTONA BEACH SHORES, FL
    ZIP 32118
  • Phone: (386) 760-0030

Map and Directions

Get Directions

NPI Details

DR. Athas Nicholas Kometas, DMD is a general practice dentist in Daytona Beach Shores, FL. 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. DR. Athas Nicholas Kometas, DMD NPI is 1063663722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3162 S ATLANTIC AVE
SUITE C
DAYTONA BEACH SHORES, FL
ZIP 32118-286
Phone: (386) 760-0030
Fax: (386) 788-3873

The enumeration date for this NPI number is 9/30/2008 and was last updated on 9/30/2008.

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 PracticeDN11431FLORIDAYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.