Individual provider · Type 1 NPI

Joel M. Nichols, DDS

Oral and Maxillofacial Surgery (Dentist) · Tacoma, WA

NPI number 1669532420 Active

Practice location

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1100

Fax (253) 968-3278

Mailing address

9900 Lincoln St Fl 2
Tacoma, WA 98431-1100

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X2004013594 (MO)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X60299 (KS)

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 1669532420

Joel M. Nichols, DDS's National Provider Identifier is 1669532420, issued on Dec 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tacoma, WA. The record was last updated on Apr 23, 2019.