Individual
DR. JACOB F NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2410 SAMPSON ST, NORTH CHICAGO, IL 60088-2942
(847) 688-2469
Mailing address
724 BLUEGRASS DR, SPRING CREEK, NV 89815-6946
(970) 768-4204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14226710-9926
UT
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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