Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENTON C NICHOLAS, DDS
ActiveDR. KENTON C NICHOLAS, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in GREELEY, Colorado. NPI 1407834120 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · GREELEY, CO
Registration Details
- NPI Number
- 1407834120
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2006 (20.643502155783 yrs)
- Last Updated
- May 2, 2012
- License
-
604 (CO)
Practice Information
- Address
-
1900 16TH STGREELEY, CO, 806315114Browse CO providers · Browse ZIP 80631
- Phone
- 9703502458
- Fax
- 9703924715
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
Other Oral & Maxillofacial Surgery (Physician) Providers in GREELEY, CO
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD WAYNE MELLIN | MD DDS | 1902965635 |
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.