Organization
DR DANA M NICHOLS AND ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA M NICHOLS DMD (PRESIDENT OWNER)
(937) 845-9422
Entity
Organization
Contact information
Practice address
203 E LAKE AVE, NEW CARLISLE, OH 45344
(937) 845-9422
(937) 845-8280
Mailing address
PO BOX 66, 203 E LAKE AVE, NEW CARLISLE, OH 45344
(937) 845-9422
(937) 845-8280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
21982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504267
—
OH
Enumeration date
07/20/2006
Last updated
08/22/2020
Update your record
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