NPI 1003300336

Thomas Steven Nichols, DMD

Practitioner General Practice Dentistry Merrillville, IN

Practice location

Address: 500 W Lincoln Hwy STE N, Merrillville, IN 46410-6452
Phone: (219) 769-6444
Fax: (219) 755-4790

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 12012949A (IN)

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Registry record

NPI: 1003300336
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2018
Record last updated: 20 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.