Nichols, Brock Wesley
Nichols, Brock Wesley is an sole proprietor health care provider with primary practice located at 3703 N Kickapoo Ave , Shawnee OK 74804-1703. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Nichols, Brock Wesley can be contacted via phone (405) 275-0640.Contact Information
Primary practice address
3703 N Kickapoo Ave
Shawnee OK 74804-1703
Phone: (405) 275-0640
Fax: (405) 225-3008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D11449 | Oregon |
| Dental Providers / Dentist | 122300000X | 7763 | Oklahoma |
Profile Details
| NPI number | 1043882103 |
|---|---|
| LBN Legal business name | Nichols, Brock Wesley |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2021 |
| Last updated | Mar 5th, 2024 - about 8 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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