Organization
H.A. NICHOLSON III
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWELL ANDERSON NICHOLSON III (OWNER)
(910) 762-4459
Entity
Organization
Contact information
Practice address
1631 DOCTORS CIR, WILMINGTON, NC 28401-7405
(910) 762-4459
(910) 762-4413
Mailing address
1631 DOCTORS CIR, WILMINGTON, NC 28401-7405
(910) 762-4459
(910) 762-4413
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89963979
—
NC
Enumeration date
06/18/2007
Last updated
08/22/2020
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