Michael R Nichols D.M.D., M.D.

NPI 1427189224 - Dentist - 1223S0112X

NPI Details
NPI 1427189224
Gender Male
Enumeration Date 03/07/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
266 KATHERINE DR
JACKSON MS, 39232-8801, US
Phone (601) 420-3223
Fax (601) 420-3054
Business Location
266 KATHERINE DR
JACKSON MS, 39232-8801, US
Phone (601) 420-3223
Fax (601) 420-3054
Toxanomy
Taxonomy Code 1223S0112X
License State Mississippi
License Number 3119-00
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According to our database, Dr. Michael R Nichols D.M.D., M.D. NPI is 1427189224, taxonomy code is 1223S0112X and license number is 3119-00, license state is located at Mississippi. Michael R Nichols D.M.D., M.D. physically located at 266 Katherine Dr, Jackson MS, 39232-8801. NPI Number Michael R Nichols D.M.D., M.D. has the Individual type.

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1427189224 NPI number is provided on an as is basis without warranty of any kind. 1427189224 is maintained by the National Plan & Provider Enumeration System. The contents of Michael R Nichols D.M.D., M.D. are for informational purposes only.