Individual
ROBERT SCOTT NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
30420 REVELLS NECK RD, WESTOVER, MD 21890-3850
(410) 845-4000
Mailing address
23 LAGONDA ST, CUMBERLAND, MD 21502-3850
(301) 938-8545
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9230
MD
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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