Nicholas C McNutt, DDS
Dentist, General Practice in Columbia, MO. Individual provider (NPI-1).
NPI number1720165533
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720165533
- Entity type
- Individual (NPI-1)
- Name
- Mr. Nicholas C McNutt
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14031 | MO | Yes |
Practice location
1 E BroadwayColumbia, MO 65203
Phone 573-443-4311 · Fax 573-449-5149
Mailing address
1 E BroadwayColumbia, MO 65203
Phone 573-443-4311 · Fax 573-449-5149
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