Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRANTLEY PAUL NICHOLS, DMD
Active Sole ProprietorDR. BRANTLEY PAUL NICHOLS, DMD is a Oral & Maxillofacial Surgery healthcare provider located in RULEVILLE, Mississippi. NPI 1265696769 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · RULEVILLE, MS
Registration Details
- NPI Number
- 1265696769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 14, 2008 (18.107171062554 yrs)
- Last Updated
- Aug 14, 2019
- Licenses
-
8276 (KY)3560-10 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
840 N OAK AVERULEVILLE, MS, 387713227Browse MS providers · Browse ZIP 38771
- Phone
- 6016248209
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
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.