Nichols, Brock Wesley

Nichols, Brock Wesley is an sole proprietor health care provider with primary practice located at 3703 N Kickapoo Ave , Shawnee OK 74804-1703. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Nichols, Brock Wesley can be contacted via phone (405) 275-0640.

Contact Information

Primary practice address
3703 N Kickapoo Ave Shawnee OK 74804-1703
Phone: (405) 275-0640
Fax: (405) 225-3008
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D11449 Oregon
Dental Providers / Dentist 122300000X 7763 Oklahoma

Profile Details

NPI number 1043882103
LBN Legal business name Nichols, Brock Wesley
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 16th, 2021
Last updated Mar 5th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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