JEFFREY TODD NICHOLS

COLUMBUS, MS
NPI1245348960
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MS  2882-95)
Additional Taxonomies122300000X Dentist
(Licence: AL  5389 C)
1223P0300X Dentist, Periodontics
(Licence: MS  PER-323-98)
1223P0300X Dentist, Periodontics
(Licence: AL  5389 C)
Enumeration Date2006-08-25
Last Update Date2007-07-08
Business Address
Dr. JEFFREY TODD NICHOLS D.M.D
2401 5TH ST N SUITE 2
COLUMBUS, MS 39705-2005
Phone number: 662-713-1111
Mailing Address
Dr. JEFFREY TODD NICHOLS D.M.D
1709 CHICKASAW DR
COLUMBUS, MS 39705-1430
Phone number: 662-241-4952