Terry Emmitt Nichols in Graceville - General Practice

Terry Emmitt Nichols - NPI 1669543310

Terry Emmitt Nichols is a General Practice in Graceville, Florida. Terry Emmitt Nichols practices all healthcare services and medical treatments related to General Practice. The NPI Number for Terry Emmitt Nichols is 1669543310. The last update date is 2007-07-08.

Terry Emmitt Nichols's current location address is Po Box 614, Graceville, Florida. You can contact this provider via phone number 8502636400 and fax number 8502634717. The mailing address for Terry Emmitt Nichols is Po Box 614, Graceville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry Emmitt Nichols
Address Po Box 614, Graceville, Florida
Phone Number 8502636400
Fax Number 8502634717
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1669543310
Provider Enumeration Date 2006-11-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 614
City Graceville
State Florida (FL)
Post Code 32440
Phone Number 8502636400
Fax Number 8502634717

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DN0012762
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
995851 ORAL HEALTH SERVICES

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FAQs about Terry Emmitt Nichols

What is the unique identifier code issued to Terry Emmitt Nichols by the Centers for Medicare & Medicaid Services?

The Terry Emmitt Nichols has been assigned the NPI (National Provider Identifier) 1669543310. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Terry Emmitt Nichols?

The Terry Emmitt Nichols is physically situated at Po Box 614, in the city of Graceville, state of FL, with the postal code 32440.

What is Terry Emmitt Nichols's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Terry Emmitt Nichols is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1669543310 to Terry Emmitt Nichols?

The Terry Emmitt Nichols received its 1669543310 assignment from the Centers for Medicare & Medicaid Services on 2006-11-13.

When was the information regarding Terry Emmitt Nichols most recently updated?

The details pertaining to the Terry Emmitt Nichols, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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