| Dr Richard Nichols Orthodontics | |
|
208 N 11th Ave Bozeman MT 59715 | |
| (406) 586-8727 | |
| (406) 586-9382 |
| Full Name | Dr Richard Nichols Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 208 N 11th Ave, Bozeman, Montana |
| Authorized Official Name and Position | Miranda Van Dyken (OFFICE COORDINATOR) |
| Authorized Official Contact | 4065868727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard Nichols Orthodontics 208 N 11th Ave Bozeman MT 59715 Ph: (406) 586-8727 | Dr Richard Nichols Orthodontics 208 N 11th Ave Bozeman MT 59715 Ph: (406) 586-8727 |
| NPI Number | 1376730853 |
|---|---|
| Provider Enumeration Date | 09/28/2007 |
| Last Update Date | 09/28/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376730853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1304 (Montana) | Primary |
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