Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY DALLAS NICHOLS, D.D.S.
Active Sole ProprietorDR. JERRY DALLAS NICHOLS, D.D.S. is a General Dentistry healthcare provider located in PEARCY, Arkansas. NPI 1285642876 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PEARCY, AR
Registration Details
- NPI Number
- 1285642876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2006 (20.044300668249 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1907 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3354 OLD AIRPORT RDPEARCY, AR, 719649445Browse AR providers · Browse ZIP 71964
- Phone
- 5017670011
- Fax
- 5017675686
- Primary Specialty
-
General Dentistry
1223G0001X
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.