Dr. Justin William Nichols, D.D.S.
Student in an Organized Health Care Education/Training Program in Iowa City, IA. Individual provider (NPI-1).
NPI number1003367293
StatusActive
Last updated in NPPESJun 26, 2023
Details
- NPI
- 1003367293
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin William Nichols
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2016
- Certification date
- Jun 26, 2023
- Last updated
- Jun 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 10081 | IA | Yes |
| 122300000X | Dentist | 100587 | CA |
Practice location
801 Newton RdIowa City, IA 52242-1001
Phone 319-335-7440 · Fax 319-335-7451
Mailing address
322 Dental Science Bldg SIowa City, IA 52242-1001
Phone 319-335-7440 · Fax 319-335-7451
Other practice locations
1660 S Columbian Way
Seattle, WA 98108-1532
Seattle, WA 98108-1532
Phone 909-437-6400
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