Jacqueline G Nickell, DDS

NPI #1649346016 in Wheelersburg, Ohio

Provider Information

NPI Number: 1649346016
Entity Type: Individual
Name: Jacqueline G Nickell, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 613 CENTER ST
Address 2: STE F
City: Wheelersburg
State: Ohio
ZIP Code: 45694
Phone: (740) 574-8150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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