Individual
DR. MICHAEL GEORGE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
826 PARCHMENT DRIVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(616) 949-5290
(616) 949-5714
Mailing address
826 PARCHMENT DRIVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(616) 949-5290
(616) 949-5714
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901018904
MI
1223G0001X
General Practice Dentistry
Primary
2901018904
MI
Other
Enumeration date
07/12/2006
Last updated
02/20/2024
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