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Dr. Michael David Nickerson SR., DDS
General Practice Dentistry in Kilmarnock, Virginia
NPI 1801926357

Michael David Nickerson SR. is a General Practice Dentistry based in Kilmarnock, VA and is specialized in General Practice. Michael David Nickerson SR. practices in Kilmarnock, VA and has the professional credentials of DDS. The NPI Number for Michael David Nickerson SR. is 1801926357 and holds a License No. 0401005752 (Virginia).

The current practice location address for Michael David Nickerson SR. is 240 South Main Street, Kilmarnock, VA and can be reached out via phone at 804-435-6916 and via fax at 804-435-7676.

Location: 240 South Main Street, Kilmarnock, VA, 22482-0486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801926357
Provider Name
Michael David Nickerson SR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
240 South Main Street, Kilmarnock, VA, 22482-0486
Phone Number
804-435-6916
Fax Number
804-435-7676
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 South Main Street
City
Kilmarnock
State
Virginia
Zip
22482
Phone Number
804-435-6916
Fax Number
804-435-7676
person
Provider Business Mailing Address Details
Address
240 South Main Street
City
Kilmarnock
State
Virginia
Zip
22482
Phone Number
804-435-6916
Fax Number
804-435-7676
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401005752 (Virginia)
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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