| Nicholson Endodontics LLC | |
|
995 Prince Frederick Blvd Ste 107 Prince Frederick MD 20678-3199 | |
| (443) 684-2016 | |
| Not Available |
| Full Name | Nicholson Endodontics LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 995 Prince Frederick Blvd Ste 107, Prince Frederick, Maryland |
| Authorized Official Name and Position | Nathaniel Thorburn Nicholson (OWNER) |
| Authorized Official Contact | 4436842016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholson Endodontics LLC Po Box 349 Galesville MD 20765-0349 Ph: (304) 290-4644 | Nicholson Endodontics LLC 995 Prince Frederick Blvd Ste 107 Prince Frederick MD 20678-3199 Ph: (443) 684-2016 |
| NPI Number | 1184479115 |
|---|---|
| Provider Enumeration Date | 04/22/2024 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184479115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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