Individual
DR. RICHARD DOUGLAS NICKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5775 RIDGETOP DR, GAINESVILLE, GA 30504-9024
(770) 536-3827
Mailing address
5775 RIDGETOP DR, GAINESVILLE, GA 30504-9024
(770) 536-3827
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8206
GA
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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