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Organization
MATTHEW NICHOLS DDS ORAL AND FACIAL SURGERY PLLC
Active
Organization
MATTHEW NICHOLS DDS ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NICHOLS DDS (PRESIDENT)
(931) 954-5244
Entity
Organization
Contact information
Practice address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
(931) 954-5244
Mailing address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000009136
TN
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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