Terry Emmitt Nichols, DMD is a
Dentist - General Practice based in Graceville, Florida. Terry Emmitt Nichols is licensed to practice in Florida (license number DN0012762) and his current practice location is
966 7th Ave, Graceville, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 263-6400.
NPI number for Terry Emmitt Nichols is 1669543310 and his current mailing address is Po Box 614, 966 7th Ave, Graceville, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669543310.
Healthcare Provider's Profile
| Full Name | Terry Emmitt Nichols |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 966 7th Ave, Graceville, Florida |
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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: 1669543310
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Terry Emmitt Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669543310 | NPI | - | NPPES |
| 995851 | Other | | ORAL HEALTH SERVICES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DN0012762 (Florida) | 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. Terry Emmitt 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 |
|---|
Terry Emmitt Nichols, DMD
Po Box 614, 966 7th Ave,
Graceville, FL 32440
Ph: (850) 263-6400 | Terry Emmitt Nichols, DMD
966 7th Ave,
Graceville, FL 32440
Ph: (850) 263-6400 |
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