Organization
BROCK NICHOLS DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK W NICHOLS DDS (OWNER)
(405) 436-5583
Entity
Organization
Contact information
Practice address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4834
(405) 436-5583
Mailing address
829 S AIR DEPOT BLVD, MIDWEST CITY, OK 73110-4834
(405) 436-5583
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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