Individual
NICHOLAS RYAN LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Contact information
Practice address
420 1ST ST N, ALABASTER, AL 35007-8707
(205) 208-0167
(800) 244-8132
Mailing address
420 1ST ST N, ALABASTER, AL 35007-8707
(205) 208-0167
(800) 244-8132
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5471
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2007
Last updated
03/17/2018
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