Dr Brantley Paul Nichols, DMD is a
Dentist - Oral And Maxillofacial Surgery based in Ruleville, Mississippi. Dr Brantley Paul Nichols is licensed to practice in Mississippi (license number 3560-10) and his current practice location is
840 N Oak Ave, Ruleville, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(601) 624-8209.
NPI number for Dr Brantley Paul Nichols is 1265696769 and his current mailing address is Po Box 10270, Greenwood, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265696769.
Healthcare Provider's Profile
| Full Name | Dr Brantley Paul Nichols |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 840 N Oak Ave, Ruleville, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1265696769
- Provider Enumeration Date: 07/14/2008
- Last Update Date: 08/14/2019
Medical Identifiers
Medical identifiers for Dr Brantley Paul Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265696769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 8276 (Kentucky) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3560-10 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Brantley Paul Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brantley Paul Nichols, DMD
Po Box 10270,
Greenwood, MS 38930-0270
Ph: (601) 624-8209 | Dr Brantley Paul Nichols, DMD
840 N Oak Ave,
Ruleville, MS 38771-3227
Ph: (601) 624-8209 |
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