Dr Justin William Nichols, DDS is a
Student In An Organized Health Care Education/training Program based in Iowa City, Iowa. Dr Justin William Nichols is licensed to practice in Iowa (license number 10081) and his current practice location is
801 Newton Rd, Iowa City, Iowa. He can be reached at his office (for appointments etc.) via phone at
(319) 335-7440.
NPI number for Dr Justin William Nichols is 1003367293 and his current mailing address is 322 Dental Science Bldg S, Iowa City, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003367293.
Healthcare Provider's Profile
| Full Name | Dr Justin William Nichols |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 801 Newton Rd, Iowa City, Iowa |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003367293
- Provider Enumeration Date: 10/22/2016
- Last Update Date: 06/26/2023
Medical Identifiers
Medical identifiers for Dr Justin William Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003367293 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 100587 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 10081 (Iowa) | 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. Dr Justin William Nichols 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 |
|---|
Dr Justin William Nichols, DDS
322 Dental Science Bldg S,
Iowa City, IA 52242-1001
Ph: (319) 335-7440 | Dr Justin William Nichols, DDS
801 Newton Rd,
Iowa City, IA 52242-1001
Ph: (319) 335-7440 |
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