Kyle Nicholson, DDS

NPI #1316591738 in Ottumwa, Iowa

Provider Information

NPI Number: 1316591738
Entity Type: Individual
Name: Kyle Nicholson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jul 25, 2019
Last Updated: Jul 25, 2019

Practice Location

Address: 201 S MARKET ST
City: Ottumwa
State: Iowa
ZIP Code: 52501-2924
Phone: (641) 683-5773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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