NPI 1407834120

Kenton C Nicholas, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Greeley, CO

Practice location

Address: 1900 16th St, Greeley, CO 80631-5114
Phone: (970) 350-2458
Fax: (970) 392-4715

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 604 (CO)

Other Oral & Maxillofacial Surgery providers in Colorado →

Registry record

NPI: 1407834120
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2006
Record last updated: 2 May 2012

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.