| Dr. Holly J. Nichols, Dmd, Pc | |
|
308 E 4th St The Dalles OR 97058-2208 | |
| (541) 296-9415 | |
| (541) 296-8846 |
| Full Name | Dr. Holly J. Nichols, Dmd, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 308 E 4th St, The Dalles, Oregon |
| Authorized Official Name and Position | Holly J Nichols (PRESIDENT) |
| Authorized Official Contact | 5412969415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Holly J. Nichols, Dmd, Pc 308 E 4th St The Dalles OR 97058-2208 Ph: (541) 296-9415 | Dr. Holly J. Nichols, Dmd, Pc 308 E 4th St The Dalles OR 97058-2208 Ph: (541) 296-9415 |
| NPI Number | 1700253622 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 08/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700253622 | NPI | - | NPPES |
| 1568539617 | Other | OR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D7013 (Oregon) | Primary |
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