| Tina Nichols Dds Corporation | |
|
619 Beechwood St Little Rock AR 72205-3846 | |
| (150) 166-4744 | |
| (501) 232-9053 |
| Full Name | Tina Nichols Dds Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 619 Beechwood St, Little Rock, Arkansas |
| Authorized Official Name and Position | Mandy Scruggs (OFFICE MANAGER) |
| Authorized Official Contact | 5016647444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Nichols Dds Corporation 619 Beechwood St Little Rock AR 72205-3846 Ph: (150) 166-4744 | Tina Nichols Dds Corporation 619 Beechwood St Little Rock AR 72205-3846 Ph: (150) 166-4744 |
| NPI Number | 1225723877 |
|---|---|
| Provider Enumeration Date | 04/10/2023 |
| Last Update Date | 04/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225723877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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