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
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 8276 (KY) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 3560-10 (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.
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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.