DR. Stephen Grigsby Nicholson, DDS

NPI #1497024111 in Bayfield, Colorado

Provider Information

NPI Number: 1497024111
Entity Type: Individual
Name: DR. Stephen Grigsby Nicholson, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 27, 2011
Last Updated: Dec 27, 2011

Practice Location

Address: 30 W MILL ST
City: Bayfield
State: Colorado
ZIP Code: 81122
Phone: (970) 884-9306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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