Individual provider · Type 1 NPI

Timothy R. Nicklas, DDS

Dentist · Wewoka, OK

NPI number 1396744280 Active

Practice location

Hwy 56 & 270 Junction
Wewoka, OK 74884

Fax (405) 257-2696

Mailing address

PO Box 1475
Wewoka, OK 74884-1475

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X1000 (OK)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1396744280

Timothy R. Nicklas, DDS's National Provider Identifier is 1396744280, issued on Jul 21, 2005. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wewoka, OK. The record was last updated on Jul 13, 2026.