Organization
MATTHEW NICHOLS DDS ORAL AND FACIAL SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW NICHOLS DDS (PRESIDENT)
(931) 954-5244
Entity
Organization
Contact information
Practice address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
(931) 954-5244
Mailing address
1425 MCARTHUR ST, MANCHESTER, TN 37355-2517
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS0000009136
TN
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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