| Steven L. Nicholson, Dds, Pc | |
|
1444 Executive Blvd Jasper IN 47546-9300 | |
| (812) 481-2121 | |
| (812) 481-2215 |
| Full Name | Steven L. Nicholson, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1444 Executive Blvd, Jasper, Indiana |
| Authorized Official Name and Position | Steven L Nicholson (PRESIDENT) |
| Authorized Official Contact | 8124812121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L. Nicholson, Dds, Pc Po Box 1014 Jasper IN 47547-1014 Ph: () - | Steven L. Nicholson, Dds, Pc 1444 Executive Blvd Jasper IN 47546-9300 Ph: (812) 481-2121 |
| NPI Number | 1174860951 |
|---|---|
| Provider Enumeration Date | 01/14/2013 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174860951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7641 (Indiana) | Primary |
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