Individual
DR. NICHOLAS EDWARD GATZULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
41865 POMEROY PIKE, POMEROY, OH 45769-9473
(740) 992-0540
(740) 992-0264
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 773-7855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.023235
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087265
—
OH
Enumeration date
07/26/2010
Last updated
11/05/2019
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