Dr Richard Nichols Orthodontics
Dentist, Orthodontics and Dentofacial Orthopedics in Bozeman, MT. Organization (NPI-2).
NPI number1376730853
StatusActive
Last updated in NPPESSep 28, 2007
Details
- NPI
- 1376730853
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr Richard Nichols Orthodontics
- Organization subpart
- No
- Enumeration date
- Sep 28, 2007
- Last updated
- Sep 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | 1304 | MT | Yes |
Practice location
208 N 11th AveBozeman, MT 59715
Phone 406-586-8727 · Fax 406-586-9382
Mailing address
208 N 11th AveBozeman, MT 59715
Phone 406-586-8727 · Fax 406-586-9382
Authorized official
Miranda Van Dyken
Office Coordinator
4065868727
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All 14 Orthodontics and Dentofacial Orthopedics Dentistry providers in Bozeman · All 3,190 providers in Bozeman
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