| Dr Brock Wesley Nichols, DDS | |
|
3703 N Kickapoo Ave, Shawnee, OK 74804-1703 | |
| (405) 275-0640 | |
| (405) 225-3008 |
| Full Name | Dr Brock Wesley Nichols |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 3703 N Kickapoo Ave, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043882103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11449 (Oregon) | Secondary |
| 122300000X | Dentist | 7763 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brock Wesley Nichols, DDS 10041 Oakwood Dr, Edmond, OK 73025-5007 Ph: (405) 436-5583 | Dr Brock Wesley Nichols, DDS 3703 N Kickapoo Ave, Shawnee, OK 74804-1703 Ph: (405) 275-0640 |
Nicklaus Clifford, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2510 E Independence St Ste 600, Shawnee, OK 74804 Phone: 405-273-2002 Fax: 405-273-0087 | |
Dr. Anaita Nalladaru Mullasseril, B.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 504 Shawnee Mall Dr, Shawnee, OK 74804 Phone: 405-878-8899 Fax: 405-878-8896 | |
Michael Bennett, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3703 N Kickapoo Ave, Shawnee, OK 74804 Phone: 405-275-0640 Fax: 405-225-3008 | |
Dr. William Jack Mann, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 E Dunloup, Shawnee, OK 74804 Phone: 405-275-7520 Fax: 405-275-4787 | |
Chase C Youngblood, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2025 S Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-307-9704 | |
Dr. Jennifer Elizabeth Baisden, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 19 W Interstate Pkwy, Shawnee, OK 74804 Phone: 405-788-4701 |