Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROCK WESLEY NICHOLS, DDS
Active Sole ProprietorDR. BROCK WESLEY NICHOLS, DDS is a Dentist healthcare provider located in SHAWNEE, Oklahoma. NPI 1043882103 is currently active in the NPPES registry. Verify at CMS.
Dentist · SHAWNEE, OK
Registration Details
- NPI Number
- 1043882103
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2021 (4.8925673581851 yrs)
- Last Updated
- Mar 5, 2024
- Licenses
-
D11449 (OR)7763 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3703 N KICKAPOO AVESHAWNEE, OK, 748041703Browse OK providers · Browse ZIP 74804
- Phone
- 4052750640
- Fax
- 4052253008
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in SHAWNEE, OK
| Name | Credential | NPI |
|---|---|---|
| MR. LEON A CONKLING | DDS | 1477542975 |
| DR. MISTY DAWN SHELDON | DDS | 1427063247 |
| DR. TERRY W HOPKINS | DDS | 1477662120 |
| DR. JACK MAXWELL CHINN | D.D.S. | 1982785192 |
| CHASE C YOUNGBLOOD | DDS | 1083877179 |
| DR. MELODY KAY LOWE MCKITRICK | D.D.S. | 1639317621 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.