Russell Dewitt Nichols is a Enterprise, Alabama based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Russell Dewitt Nichols is 4810A1 for General Practice Dentistry in Alabama. His current practice location is 812 Boll Weevil Cir, Enterprise. Patients can reach him at 334-347-9283.
Russell Dewitt Nichols is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Russell Dewitt Nichols speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780623843
NPI Enumeration Date:
05 Jun, 2006
NPI Last Update On:
08 Apr, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Russell Dewitt Nichols are as mentioned below.
License Number
Specialization
State
Status
4810A1
General Practice Dentistry
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Russell Dewitt Nichols such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51027316
Other
Alabama
BLUE CROSS BLUE SHIELD
487225
Other
Alabama
UNITED CONCORDIA
4810
Other
Alabama
DELTA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
108 E Kingswood Dr, Enterprise, Alabama
Zip:
36330-4119
Phone Number:
334-347-9283
Fax Number:
334-347-7664
Patients can reach Russell Dewitt Nichols at 812 Boll Weevil Cir, Enterprise, Alabama or can call to book an appointment on 334-347-9283. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.