Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT EUGENE NIKOLAUS, D.D.S.
ActiveBRENT EUGENE NIKOLAUS, D.D.S. is a Orthodontics healthcare provider located in KEESLER AFB, Mississippi. NPI 1649236696 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · KEESLER AFB, MS
Registration Details
- NPI Number
- 1649236696
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2006 (20.316512669345 yrs)
- Last Updated
- Jul 8, 2007
- License
-
DS0000004593 (TN)
Practice Information
- Address
-
81ST DS/SGD606 FISHER ST, BLDG 0824KEESLER AFB, MS, 395342567Browse MS providers · Browse ZIP 39534
- Phone
- 2283775890
- Primary Specialty
-
Orthodontics
1223X0400X
Other Orthodontics Providers in KEESLER AFB, MS
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY ALLEN FORD | D.M.D. | 1770535601 |
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.