Local City Search for Surgeons and Surgical Clinics DR. KENTON C NICHOLAS DDS
Surgery Yellow Pages
Greeley, Colorado
Provider NPI: 1407834120
Provider Information:DR. KENTON C NICHOLAS DDS
Practice Location:
1900 16TH ST GREELEY, CO 80631 US
Tel: 970-350-2458 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | CO | 604 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 02006047 | CO | 05 | |
| MEDICARE RAILROAD CARRIER PTAN | P00944805 | CO | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
