| James S Nicholsondds | |
|
730 Callahan St Muskogee OK 74403-5143 | |
| (918) 682-6452 | |
| (918) 682-6505 |
| Full Name | James S Nicholsondds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 730 Callahan St, Muskogee, Oklahoma |
| Authorized Official Name and Position | James S Nicholson (OWNER/ PRESIDENT) |
| Authorized Official Contact | 9186826452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James S Nicholsondds 730 Callahan St Muskogee OK 74403-5143 Ph: (918) 682-6452 | James S Nicholsondds 730 Callahan St Muskogee OK 74403-5143 Ph: (918) 682-6452 |
| NPI Number | 1699940064 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699940064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3655 (Oklahoma) | Primary |
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