Individual
NICHOLAS GENE HINDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
203 W WASHINGTON ST, CENTERVILLE, IA 52544-1438
(641) 856-4103
Mailing address
203 W WASHINGTON ST, CENTERVILLE, IA 52544-1438
(641) 856-4103
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7891
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152645
—
IA
Enumeration date
10/24/2006
Last updated
07/09/2007
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