Organization
NICHOLSON ENDODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL THORBURN NICHOLSON DDS, MS (OWNER)
(443) 684-2016
Entity
Organization
Contact information
Practice address
995 PRINCE FREDERICK BLVD STE 107, PRINCE FREDERICK, MD 20678-3199
(443) 684-2016
Mailing address
PO BOX 349, GALESVILLE, MD 20765-0349
(304) 290-4644
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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