Individual
DR. NICHOLAS MADDUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
351 EDWIN DR, SUITE 104, VIRGINIA BEACH, VA 23462-4559
(757) 499-3530
Mailing address
351 EDWIN DR, SUITE 104, VIRGINIA BEACH, VA 23462-4559
(757) 499-3530
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414706
VA
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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