# NICHOLAS A MEDEL DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Athens Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538535331
- **Authorized official:** NICHOLAS ADAM MEDEL DDS/OMS (OWNER)
- **Authorized official phone:** (586) 291-2078

## Contact information

- **Practice address:** 307 E CLINTON AVE, ATHENS, TX 75751-3405
- **Practice address phone:** (586) 291-2078
- **Mailing address:** 307 E CLINTON AVE, ATHENS, TX 75751-3405
- **Mailing address phone:** (586) 291-2078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 24965 | TX | Yes |

## Other

- **Enumeration date:** 08/15/2015
- **Last updated:** 08/15/2015