| Terry E Nichols Dmd Pa | |
|
966 7th Ave Graceville FL 32440-2224 | |
| (850) 263-6400 | |
| (850) 263-4717 |
| Full Name | Terry E Nichols Dmd Pa |
|---|---|
| Speciality | Dentist |
| Location | 966 7th Ave, Graceville, Florida |
| Authorized Official Name and Position | Terry Emmett Nichols (OWNER) |
| Authorized Official Contact | 8502636400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terry E Nichols Dmd Pa Po Box 614 Graceville FL 32440-0614 Ph: (850) 263-6400 | Terry E Nichols Dmd Pa 966 7th Ave Graceville FL 32440-2224 Ph: (850) 263-6400 |
| NPI Number | 1326223843 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326223843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |