Individual
MR. NICHOLAS D WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
367 WILLIAMSON RD STE 104, MOORESVILLE, NC 28117-5945
(704) 660-5955
(704) 660-5299
Mailing address
367 WILLIAMSON RD STE 104, MOORESVILLE, NC 28117-5945
(704) 660-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10745
NC
Other
Enumeration date
07/07/2017
Last updated
11/11/2021
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