Individual
NICHOLAS WALLACE HATCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 W UNIVERSITY AVE STE 100, FLAGSTAFF, AZ 86001-7115
(928) 774-7373
Mailing address
110 ELIZABETH ST, CHARLESTON, WV 25311-2117
(304) 941-2333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D012830
AZ
Other
Enumeration date
06/24/2026
Last updated
06/24/2026
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