Organization
STEVEN L. NICHOLSON, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN L NICHOLSON DDS (PRESIDENT)
(812) 481-2121
Entity
Organization
Contact information
Practice address
1444 EXECUTIVE BLVD, JASPER, IN 47546-9300
(812) 481-2121
(812) 481-2215
Mailing address
PO BOX 1014, JASPER, IN 47547-1014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7641
IN
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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