Nichols Periodontics LLC
NPI #1134341407 in Columbus, Mississippi
Provider Information
- NPI Number
- 1134341407
- Entity Type
- Organization
- Organization Name
- Nichols Periodontics LLC
- Primary Specialty
- Dentist - Periodontics
- Enumeration Date
- May 3, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2401 5TH STREET NORTH
- Address 2
- SUITE 2
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705
- Phone
- (662) 713-1111
Authorized Official
- Name
- DR. JEFFREY TODD NICHOLS, D.M.D
- Title
- OWNER
- Phone
- (662) 713-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Periodontics — Periodontics |
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