Individual
DR. DANIEL A NICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1330 N PLEASANTBURG DR, GREENVILLE, SC 29607-1251
(864) 244-3211
Mailing address
100 COVEY HILL CT, GREENVILLE, SC 29615-3112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3126
SC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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