Daniel Kenneth Nicholson, DDS is a
Dentist - General Practice based in Owen, Wisconsin. Daniel Kenneth Nicholson is licensed to practice in Wisconsin (license number 1002612-15) and his current practice location is
202 N Central Ave, Owen, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 229-2299.
NPI number for Daniel Kenneth Nicholson is 1154991222 and his current mailing address is Po Box 253, Owen, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154991222.
Healthcare Provider's Profile
Full Name | Daniel Kenneth Nicholson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 202 N Central Ave, Owen, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154991222
- Provider Enumeration Date: 06/30/2021
- Last Update Date: 07/08/2021
Medical Identifiers
Medical identifiers for Daniel Kenneth Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154991222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1002612-15 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Kenneth Nicholson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Daniel Kenneth Nicholson, DDS Po Box 253, Owen, WI 54460-0253 Ph: () - | Daniel Kenneth Nicholson, DDS 202 N Central Ave, Owen, WI 54460-9785 Ph: (715) 229-2299 |
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