DR. Susanne A Nichols, D.M.D.

NPI #1518047513 in Reform, Alabama

Provider Information

NPI Number
1518047513
Entity Type
Individual
Name
DR. Susanne A Nichols, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Oct 16, 2006
Last Updated
Apr 4, 2012

Practice Location

Address
106 THIRD AVENUE SOUTHEAST
City
Reform
State
Alabama
ZIP Code
35481-2254
Phone
(205) 375-6314

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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