Connie K Nicholson in Crossville - General Practice

Connie K Nicholson - NPI 1306947023

Connie K Nicholson is a General Practice in Crossville, Tennessee. Connie K Nicholson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Connie K Nicholson is 1306947023. The last update date is 2007-07-08.

Connie K Nicholson's current location address is 125 Brown Avenue, Crossville, Tennessee. You can contact this provider via phone number 9314847650 and fax number 9314848907. The mailing address for Connie K Nicholson is 125 Brown Avenue, Crossville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Connie K Nicholson
Address 125 Brown Avenue, Crossville, Tennessee
Phone Number 9314847650
Fax Number 9314848907
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1306947023
Provider Enumeration Date 2006-09-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 125 Brown Avenue
City Crossville
State Tennessee (TN)
Post Code 38555
Phone Number 9314847650
Fax Number 9314848907

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DS-005250
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.

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FAQs about Connie K Nicholson

What is the Connie K Nicholson's 1306947023?

The Connie K Nicholson's NPI (National Provider Identifier) Number is 1306947023. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Connie K Nicholson is located?

The Connie K Nicholson is situated at the following address: 125 Brown Avenue, Crossville, TN, 38555.

What is Connie K Nicholson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Connie K Nicholson is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did Connie K Nicholson receive its 1306947023 assignment from the Centers for Medicare & Medicaid Services?

The Connie K Nicholson was assigned its 1306947023 on 2006-09-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Connie K Nicholson most recently updated or refreshed?

The details pertaining to the Connie K Nicholson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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