Individual provider · Type 1 NPI

Brantley Paul Nichols, DMD

Oral and Maxillofacial Surgery (Dentist) · Ruleville, MS

NPI number 1265696769 Active

Practice location

840 N Oak Ave
Ruleville, MS 38771-3227

Mailing address

PO Box 10270
Greenwood, MS 38930-0270

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X8276 (KY)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X3560-10 (MS)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

43 other providers at this address

About NPI 1265696769

Brantley Paul Nichols, DMD's National Provider Identifier is 1265696769, issued on Jul 14, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ruleville, MS. The record was last updated on Aug 14, 2019.