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.
| Name: | Russell Dewitt Nichols |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.M.D. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 812 Boll Weevil Cir, Enterprise,
Alabama, 36330-2079 |
| Phone: | 334-347-9283 |
| Fax: | 334-347-7664 |
Professional Identification Codes:
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 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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.