Nichols, Mark Roberts
Nichols, Mark Roberts is an individual health care provider with primary practice located at 3651 Highway 59 N , Grove OK 74344-3705. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Nichols, Mark Roberts can be contacted via phone (918) 786-4084.Contact Information
Primary practice address
3651 Highway 59 N
Grove OK 74344-3705
Phone: (918) 786-4084
Fax: (918) 786-4984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4424 | Oklahoma |
Profile Details
| NPI number | 1659317352 |
|---|---|
| LBN Legal business name | Nichols, Mark Roberts |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years 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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