Individual
DR. JOHN KENNETH NICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
413 VARDRY ST, STE 3 A, GREENVILLE, SC 29601-3331
(864) 271-7198
(864) 271-0503
Mailing address
413 VARDRY ST, STE 3 A, GREENVILLE, SC 29601-3331
(864) 271-7198
(864) 271-0503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1995
SC
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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