Joe Nichols

NPI #1881018711 in Houston, Mississippi

Provider Information

NPI Number: 1881018711
Entity Type: Individual
Name: Joe Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Feb 12, 2014
Last Updated: Feb 12, 2014

Practice Location

Address: 100 HIGHLAND DR
City: Houston
State: Mississippi
ZIP Code: 38851-2423
Phone: (662) 456-3443

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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