DR. Larry Thomas Nickell SR., DDS
NPI #1588840896 in Van Alstyne, Texas
Provider Information
- NPI Number
- 1588840896
- Entity Type
- Individual
- Name
- DR. Larry Thomas Nickell SR., DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jan 16, 2008
- Last Updated
- Jan 16, 2008
Practice Location
- Address
- 202 EAST JEFFERSON
- City
- Van Alstyne
- State
- Texas
- ZIP Code
- 75495-1991
- Phone
- (903) 819-9075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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