Larry Thomas Nickell Sr., DDS

General Practice Dentistry · Van Alstyne, TX

Individual Active NPI

NPI number 1588840896

Practice location

202 East Jefferson
Van Alstyne, TX 75495-1991
Phone
(903) 819-9075

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NPI record

NPI
1588840896
Entity type
Individual (Type 1)
Enumeration date
January 16, 2008
Last updated
January 16, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 14881 TX

Mailing address

PO Box 1991
Van Alstyne, TX 75495-1991
Phone
(903) 819-9075

About Dr. Nickell

Larry Thomas Nickell Sr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 202 East Jefferson, Van Alstyne, TX 75495-1991. The NPI number 1588840896 was assigned on January 16, 2008 and the record was last updated on January 16, 2008.

Dr. Nickell lists a license in the registry: #14881 (TX) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Larry Thomas Nickell Sr., DDS?

The NPI number is 1588840896.

What is the phone number of Dr. Nickell?

The phone number listed for the practice location is (903) 819-9075.

Where is Dr. Nickell located?

202 East Jefferson, Van Alstyne, TX 75495-1991.

What is the taxonomy code for Dr. Nickell?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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