Timothy R Nicklas is a Dentist in Wewoka, Oklahoma. Timothy R Nicklas practices all healthcare services and medical treatments related to Dentist. The NPI Number for Timothy R Nicklas is 1396744280. The last update date is 2007-07-08.
Timothy R Nicklas's current location address is Po Box 1475, Wewoka, Oklahoma. You can contact this provider via phone number 4052577318 and fax number 4052572696. The mailing address for Timothy R Nicklas is Po Box 1475, Wewoka, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy R Nicklas |
|---|---|
| Address | Po Box 1475, Wewoka, Oklahoma |
| Phone Number | 4052577318 |
| Fax Number | 4052572696 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396744280 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1475 |
|---|---|
| City | Wewoka |
| State | Oklahoma (OK) |
| Post Code | 748841475 |
| Phone Number | 4052577318 |
| Fax Number | 4052572696 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 1000 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1304881 | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Timothy R Nicklas by the Centers for Medicare & Medicaid Services?
The Timothy R Nicklas has been assigned the NPI (National Provider Identifier) 1396744280 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Timothy R Nicklas's facilities are geographically located?
The facilities of Timothy R Nicklas are physically situated at the following location: Po Box 1475, Wewoka, OK, 748841475.
What is Timothy R Nicklas's area of expertise and its corresponding taxonomy classification?
The Timothy R Nicklas's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
When did Timothy R Nicklas receive its 1396744280 assignment?
The Timothy R Nicklas was assigned its 1396744280 on 2005-07-21, which is the date when this unique identifier was issued to the organization.
When was the information regarding Timothy R Nicklas, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Timothy R Nicklas, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.