Teresa Ann Nicholson, DDS

NPI #1437108990 in Muncie, Indiana

Provider Information

NPI Number: 1437108990
Entity Type: Individual
Name: Teresa Ann Nicholson, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 10, 2006
Last Updated: Mar 5, 2013

Practice Location

Address: 200 E MCGALLIARD RD
City: Muncie
State: Indiana
ZIP Code: 47303-2009
Phone: (765) 254-1706

Specialties & Taxonomy Codes

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

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