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Dr. Connie K Nicholson, DMD
General Practice Dentistry in Crossville, Tennessee
NPI 1306947023

Connie K Nicholson is a General Practice Dentistry based in Crossville, TN and is specialized in General Practice. Connie K Nicholson practices in Crossville, TN and has the professional credentials of DMD. The NPI Number for Connie K Nicholson is 1306947023 and holds a License No. DS-005250 (Tennessee).

The current practice location address for Connie K Nicholson is 125 Brown Avenue, Crossville, TN and can be reached out via phone at 931-484-7650 and via fax at 931-484-8907. You can also correspond with Connie K Nicholson through the mailing address at 125 BROWN AVENUE, CROSSVILLE, TN - 38555 (mailing address contact number: 931-484-7650).

Location: 125 Brown Avenue, Crossville, TN, 38555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306947023
Provider Name
Connie K Nicholson
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
125 Brown Avenue, Crossville, TN, 38555
Phone Number
931-484-7650
Fax Number
931-484-8907
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
125 Brown Avenue
City
Crossville
State
Tennessee
Zip
38555
Phone Number
931-484-7650
Fax Number
931-484-8907
person
Provider Business Mailing Address Details
Address
125 Brown Avenue
City
Crossville
State
Tennessee
Zip
38555
Phone Number
931-484-7650
Fax Number
931-484-8907
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DS-005250 (Tennessee)
Definition
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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