Individual
MR. THOMAS STEVEN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
500 W LINCOLN HWY STE N, MERRILLVILLE, IN 46410-6452
(219) 769-6444
(219) 755-4790
Mailing address
500 W LINCOLN HWY STE N, MERRILLVILLE, IN 46410-6452
(219) 769-6444
(219) 755-4790
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012949A
IN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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