Individual
DR. NICHOLAS ALEXANDER MECKFESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 H ST, POPLAR, MT 59255-7817
(406) 768-2300
Mailing address
PO BOX 1027, POPLAR, MT 59255-1027
(406) 768-2200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D1325
SD
1223D0001X
Public Health Dentistry
D1325
SD
1223G0001X
General Practice Dentistry
Primary
D1325
SD
Other
Enumeration date
09/22/2021
Last updated
04/24/2024
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