JAMES S NICHOLSONDDS NPI 1699940064

NPI Information

JAMES S NICHOLSONDDS is a dental clinic center in Muskogee, OK. JAMES S NICHOLSONDDS NPI is 1699940064. The provider is registered as an organization entity type.

The provider's business location address is:

730 CALLAHAN ST
MUSKOGEE, OK
ZIP 74403-143
Phone: (918) 682-6452
Fax: (918) 682-6505

The provider's authorized official is James S Nicholson .
The authorized official title is Owner/ President and has the following contact phone number (918) 682-6452.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 4/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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