Individual
NICHOLAS MECHAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 900-2527
Mailing address
1123 HARBOR RIVER CV, MEMPHIS, TN 38103-8972
(859) 494-0780
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
018001994
IL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
223
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
7459
OK
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS041277
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
11866
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
OS-6030-22
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2016
Last updated
12/19/2024
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