Nickolas Williams
Dental Assistant
Bldg 2441 21st Street Us Army Dental Activity
Fort Campbell
, Kentucky 42223
Nickolas Williams
Dental Assistant
Bldg 2441 21st Street Us Army Dental Activity
Fort Campbell
, Kentucky 42223
(270) 956-0266
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Nickolas Williams
- Bldg 2441 21st Street Us Army Dental Activity
- Fort Campbell, KY
- Zip : 42223
- Fax : (270) 956-0266
- Phone : (270) 798-8977
Second Address
- Nickolas Williams
- Bldg 2441 21st Street Us Army Dental Activity
- Fort Campbell, KY
- Zip : 42223
- Fax : (270) 956-0266
- Phone : (270) 798-8977
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1336598127 |
|---|---|
| Provider Name | Nickolas Williams |
| First Address | Fort Campbell, KY 42223 |
| Second Address | Fort Campbell, KY 42223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2016 |
| Last Update Date | 13/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.