Individual
DR. DONNA LYNN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1002 N CHURCH ST STE 400, GREENSBORO, NC 27401-1450
(336) 545-0161
(336) 697-6440
Mailing address
5011 SOUTHPARK DR STE 220, DURHAM, NC 27713-7738
(919) 240-7280
(919) 869-1436
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881253581
—
NC
Enumeration date
06/07/2019
Last updated
10/03/2023
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