Individual
NICHOLAS JOSEPH CHARLES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2684 W HIGHWAY 11E, STRAWBERRY PLAINS, TN 37871-3554
(865) 933-4565
(865) 932-9127
Mailing address
2684 W HIGHWAY 11E, STRAWBERRY PLAINS, TN 37871-3554
(865) 933-4565
(865) 932-9127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8377
TN
Other
Enumeration date
07/01/2005
Last updated
07/08/2007
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