Organization
JAMES S NICHOLSONDDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S NICHOLSON DDS (OWNER/ PRESIDENT)
(918) 682-6452
Entity
Organization
Contact information
Practice address
730 CALLAHAN ST, MUSKOGEE, OK 74403-5143
(918) 682-6452
(918) 682-6505
Mailing address
730 CALLAHAN ST, MUSKOGEE, OK 74403-5143
(918) 682-6452
(918) 682-6505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3655
OK
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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