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Dr. Susanne A Nichols, DMD
General Practice Dentistry in Reform, Alabama
NPI 1518047513

Susanne A Nichols is a General Practice Dentistry based in Reform, AL and is specialized in General Practice. Susanne A Nichols practices in Reform, AL and has the professional credentials of DMD. The NPI Number for Susanne A Nichols is 1518047513 and holds a License No. 2813-94 (Alabama).

The current practice location address for Susanne A Nichols is 106 Third Avenue Southeast, Reform, AL and can be reached out via phone at 205-375-6314.

Location: 106 Third Avenue Southeast, Reform, AL, 35481-2254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518047513
Provider Name
Susanne A Nichols
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
106 Third Avenue Southeast, Reform, AL, 35481-2254
Phone Number
205-375-6314
Fax Number
Provider Enumeration Date
10/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05778081 05 MS
954583 01 MS UNITED CONCORDIA DENTAL
2813 01 MS DELTA DENTAL
institution
Provider Business Practice Location Address Details
Address
106 Third Avenue Southeast
City
Reform
State
Alabama
Zip
35481-2254
Phone Number
205-375-6314
Fax Number
person
Provider Business Mailing Address Details
Address
106 Third Avenue Southeast
City
Reform
State
Alabama
Zip
35481-2254
Phone Number
205-375-6314
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
2813-94 (Mississippi)
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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