Individual
DR. JOHN LEE NICKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
(360) 671-3574
Mailing address
220 UNITY ST, BELLINGHAM, WA 98225-4429
(360) 676-6177
(360) 671-3574
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4657
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5511100
—
WA
Enumeration date
05/16/2007
Last updated
03/07/2014
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