MR. Nicky Wayne Nannfeldt, DDS

NPI #1649212127 in Saint Joseph, Michigan

Provider Information

NPI Number: 1649212127
Entity Type: Individual
Name: MR. Nicky Wayne Nannfeldt, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1600 NILES AVE
City: Saint Joseph
State: Michigan
ZIP Code: 49085-1609
Phone: (269) 983-1812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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