| Dr Dana M Nichols And Assoc Inc | |
|
203 E Lake Ave New Carlisle OH 45344 | |
| (937) 845-9422 | |
| (937) 845-8280 |
| Full Name | Dr Dana M Nichols And Assoc Inc |
|---|---|
| Speciality | Dentist |
| Location | 203 E Lake Ave, New Carlisle, Ohio |
| Authorized Official Name and Position | Dana M Nichols (PRESIDENT OWNER) |
| Authorized Official Contact | 9378459422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana M Nichols And Assoc Inc Po Box 66 203 E Lake Ave New Carlisle OH 45344 Ph: (937) 845-9422 | Dr Dana M Nichols And Assoc Inc 203 E Lake Ave New Carlisle OH 45344 Ph: (937) 845-9422 |
| NPI Number | 1063432581 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063432581 | NPI | - | NPPES |
| 2504267 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21982 (Ohio) | Primary |
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