Organization
MARK A. NICHOLS, D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A. NICHOLS D.D.S. (DENTIST)
(801) 621-4421
Entity
Organization
Contact information
Practice address
450 39TH ST, OGDEN, UT 84403-1838
(801) 621-4421
(801) 392-7467
Mailing address
450 39TH ST, OGDEN, UT 84403-1838
(801) 621-4421
(801) 392-7467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
272061
UT
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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