| Philip L Nicholson Dds Pc | |
|
150 N Indiana St Mooresville IN 46158-1506 | |
| (317) 831-4240 | |
| (317) 831-4473 |
| Full Name | Philip L Nicholson Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 150 N Indiana St, Mooresville, Indiana |
| Authorized Official Name and Position | Philip Lee Nicholson (PRES) |
| Authorized Official Contact | 3178314240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip L Nicholson Dds Pc 150 N Indiana St Mooresville IN 46158-1506 Ph: (317) 831-4240 | Philip L Nicholson Dds Pc 150 N Indiana St Mooresville IN 46158-1506 Ph: (317) 831-4240 |
| NPI Number | 1871681734 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871681734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 12007371B (Indiana) | Primary |
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