Individual provider · Type 1 NPI

Justin William Nichols, DDS

Student in an Organized Health Care Education/Training Program · Iowa City, IA

NPI number 1003367293 Active

Practice location

801 Newton Rd
Iowa City, IA 52242-1001

Fax (319) 335-7451

Mailing address

322 Dental Science Bldg S
Iowa City, IA 52242-1001

Other practice locations

  • 1660 S Columbian Way, Seattle, WA 98108-1532 · (909) 437-6400

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X100587 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000X10081 (IA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

155 other providers at this address

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About NPI 1003367293

Justin William Nichols, DDS's National Provider Identifier is 1003367293, issued on Oct 22, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Iowa City, IA. The record was last updated on Jun 26, 2023.