John Lee Nickell, D.D.S. Valid NPI

Individual provider · General Practice Dentistry · Bellingham, WA

NPI

1699982223

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

4657 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-16

Last updated

2014-03-07