Individual provider · Type 1 NPI

Jacquelyn Marie Nickele

Orthodontics and Dentofacial Orthopedics Dentistry · Louisville, KY

NPI number 1922418169 Active

Practice location

1815 Bardstown Rd
Louisville, KY 40205-1433

Call (502) 459-4120 Map

Mailing address

PO Box 860036
Minneapolis, MN 55486-0036

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X9476 (KY)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X12012676A (IN)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9476 (KY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

3 other providers at this address

Other orthodontics and dentofacial orthopedics dentistry providers in Louisville

See all in Louisville →

About NPI 1922418169

Jacquelyn Marie Nickele's National Provider Identifier is 1922418169, issued on Apr 28, 2014. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Louisville, KY. The record was last updated on May 31, 2017.