DR. Charles Andrew Nicholas III, D.D.S.

NPI #1982765202 in Cleveland, Tennessee

Provider Information

NPI Number: 1982765202
Entity Type: Individual
Name: DR. Charles Andrew Nicholas III, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Dec 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 40 25TH ST NW
City: Cleveland
State: Tennessee
ZIP Code: 37311-3829
Phone: (423) 476-4418

Specialties & Taxonomy Codes

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

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