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Dr. Gary S. Nickerson, DDS
Pediatric Dentist in Highland, Indiana
NPI 1386669257

Gary S. Nickerson is a Pediatric Dentist based in Orland Park, IN and is specialized in Pediatric Dentistry. Gary S. Nickerson practices in Highland, IN and has the professional credentials of DDS. The NPI Number for Gary S. Nickerson is 1386669257 and holds a License No. 12009939A (Indiana).

The current practice location address for Gary S. Nickerson is 2833 Lincoln St, Highland, IN and can be reached out via phone at 219-838-2007 and via fax at 219-972-6267. You can also correspond with Gary S. Nickerson through the mailing address at 8330 W 145TH PL, ORLAND PARK, IL - 60462-2867 (mailing address contact number: 708-349-8677).

Location: 2833 Lincoln St, Highland, IN, 60462-2867
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386669257
Provider Name
Gary S. Nickerson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2833 Lincoln St, Highland, IN, 60462-2867
Phone Number
219-838-2007
Fax Number
219-972-6267
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130765 01 IN UNITED CONCORDIA
755187 01 IN UNITED CONCORDIA
institution
Provider Business Practice Location Address Details
Address
2833 Lincoln St
City
Highland
State
Indiana
Zip
46322-1924
Phone Number
219-838-2007
Fax Number
219-972-6267
person
Provider Business Mailing Address Details
Address
8330 W 145Th Pl
City
Orland Park
State
Illinois
Zip
60462-2867
Phone Number
708-349-8677
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
12009939A (Indiana)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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