Individual
DR. JOEL M NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1100
(253) 968-3885
(253) 968-3278
Mailing address
9900 LINCOLN ST FL 2, TACOMA, WA 98431-1100
(253) 968-4039
(253) 968-5919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2004013594
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
60299
KS
Other
Enumeration date
12/11/2006
Last updated
04/23/2019
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