Individual
DR. JOHN R NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
28 N TIPTON, MUNFORD, TN 38058
(901) 837-3455
(901) 837-3465
Mailing address
PO BOX 1377, MUNFORD, TN 38058
(901) 837-3455
(907) 837-3465
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2396
TN
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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