| Nicole A. Nellis Dds Pllc | |
|
9314 S Delaware Ave Tulsa OK 74137-5600 | |
| (918) 518-6305 | |
| Not Available |
| Full Name | Nicole A. Nellis Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9314 S Delaware Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Nicole Nellis (OWNER) |
| Authorized Official Contact | 9187281449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A. Nellis Dds Pllc 9314 S Delaware Ave Tulsa OK 74137-5600 Ph: () - | Nicole A. Nellis Dds Pllc 9314 S Delaware Ave Tulsa OK 74137-5600 Ph: (918) 518-6305 |
| NPI Number | 1265192355 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265192355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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