Individual
DR. NICHOLAS BRANDON DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-1336
Mailing address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5529
(937) 257-1336
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21953
OH
1223G0001X
General Practice Dentistry
Primary
30.021953
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21953
STATE LICENSE
OH
Enumeration date
03/24/2006
Last updated
02/24/2026
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