Individual
TIMOTHY J NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
HC 63 BOX 3560, ROMNEY, WV 26757-9722
(304) 822-4447
(304) 822-7943
Mailing address
32 STAYMAN DR, ROMNEY, WV 26757-6289
(304) 822-4447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3618
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810000198
—
WV
Enumeration date
10/17/2006
Last updated
06/30/2016
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