DR. Gary S. Nickerson, D.D.S.

NPI #1386669257 in Highland, Indiana

Provider Information

NPI Number
1386669257
Entity Type
Individual
Name
DR. Gary S. Nickerson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
Jul 13, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
2833 LINCOLN ST
Address 2
SUITE 1
State
Indiana
ZIP Code
46322-1924
Phone
(219) 838-2007

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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