Organization
JIM NICHOLS, DDS APDC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM NICHOLS D.D.S. (OWNER, PRESIDENT)
(337) 991-0766
Entity
Organization
Contact information
Practice address
401 SETTLERS TRACE RD, LAFAYETTE, LA 70508-6048
(337) 991-0766
(337) 991-0594
Mailing address
401 SETTLERS TRACE RD, LAFAYETTE, LA 70508-6048
(337) 991-0766
(337) 991-0594
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3864
LA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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