Individual provider · Type 1 NPI

Michael David Nickerson Sr., DDS

General Practice Dentistry · Kilmarnock, VA

NPI number 1801926357 Active

Practice location

240 South Main Street
Kilmarnock, VA 22482

Call (804) 435-6916 Map

Fax (804) 435-7676

Mailing address

PO Box 486, 240 South Main Street
Kilmarnock, VA 22482-0486

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401005752 (VA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1801926357

Michael David Nickerson Sr., DDS's National Provider Identifier is 1801926357, issued on Mar 6, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Kilmarnock, VA. The record was last updated on Jul 8, 2007.