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Organization
NICK A ENGLAND JR PSC
Active
Organization
NICK A ENGLAND JR PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK A ENGLAND JR. DMD (OWNER)
(606) 237-4750
Entity
Organization
Contact information
Practice address
534 CENTRAL AVE, SOUTH WILLIAMSON, KY 41503-4123
(606) 237-4750
Mailing address
534 CENTRAL AVE, SOUTH WILLIAMSON, KY 41503-4123
(606) 237-4750
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4704
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60047040
—
KY
Enumeration date
09/27/2006
Last updated
04/23/2014
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