Jim Nichols, Dds Apdc | |
401 Settlers Trace Rd Lafayette LA 70508-6048 | |
(337) 991-0766 | |
(337) 991-0594 |
Full Name | Jim Nichols, Dds Apdc |
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Speciality | Dentist - General Practice |
Location | 401 Settlers Trace Rd, Lafayette, Louisiana |
Authorized Official Name and Position | Jim Nichols (OWNER, PRESIDENT) |
Authorized Official Contact | 3379910766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jim Nichols, Dds Apdc 401 Settlers Trace Rd Lafayette LA 70508-6048 Ph: (337) 991-0766 | Jim Nichols, Dds Apdc 401 Settlers Trace Rd Lafayette LA 70508-6048 Ph: (337) 991-0766 |
NPI Number | 1386866739 |
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Provider Enumeration Date | 05/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386866739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 3864 (Louisiana) | Primary |
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