Russell Dewitt Nichols, D.M.D.

NPI #1780623843 in Enterprise, Alabama

Provider Information

NPI Number: 1780623843
Entity Type: Individual
Name: Russell Dewitt Nichols, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Jun 5, 2006
Last Updated: Apr 8, 2008

Practice Location

Address: 812 BOLL WEEVIL CIR
City: Enterprise
State: Alabama
ZIP Code: 36330-2079
Phone: (334) 347-9283

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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