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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW LEE NICHOLS

Active

MATTHEW LEE NICHOLS is a Oral & Maxillofacial Surgery healthcare provider located in MANCHESTER, Tennessee. NPI 1285807081 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · MANCHESTER, TN

Registration Details

NPI Number
1285807081
Provider Type
Individual
Gender
Male
NPI Issued
Apr 12, 2008 (18.158614055203 yrs)
Last Updated
Jun 1, 2012
Licenses
DS0000009136 (TN)
DS0000009136 (TN)

Practice Information

Address
1425 MCARTHUR ST
MANCHESTER, TN, 373552517
Browse TN providers · Browse ZIP 37355
Phone
9319545244
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Dentist
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.