Nikolaus, Brent Eugene

Nikolaus, Brent Eugene is an individual health care provider with primary practice located at 81St Ds/Sgd 606 Fisher St, Bldg 0824, Keesler Afb MS 39534-2567. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Nikolaus, Brent Eugene can be contacted via phone (228) 377-5890.

Contact Information

Primary practice address
81St Ds/Sgd 606 Fisher St, Bldg 0824 Keesler Afb MS 39534-2567
Phone: (228) 377-5890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS0000004593 Tennessee

Profile Details

NPI number 1649236696
LBN Legal business name Nikolaus, Brent Eugene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 18 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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