Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM GRANT NICKLAS, DMD
Active Sole ProprietorWILLIAM GRANT NICKLAS, DMD is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in YARDLEY, Pennsylvania. NPI 1982640165 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · YARDLEY, PA
Registration Details
- NPI Number
- 1982640165
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.189299094629 yrs)
- Last Updated
- Oct 16, 2012
- License
-
DS20762L (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 OXFORD VALLEY RD301AYARDLEY, PA, 190677706Browse PA providers · Browse ZIP 19067
- Phone
- 2154938485
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
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.