Individual
DR. JOHNNIE MCNICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
247 W MAIN ST, SUITE E, HENDERSONVILLE, TN 37075-7320
(615) 826-4464
(615) 826-3208
Mailing address
247 W MAIN ST, SUITE E, HENDERSONVILLE, TN 37075-7320
(615) 826-4464
(615) 826-3208
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7519
TN
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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