Donald Anthony Nichols, D.D.S.
Individual provider Active NPI General Practice Dentistry · El Dorado, KS
NPI 1033345376 · NPPES record last updated Jun 1, 2009
Key facts
- NPI
- 1033345376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 60660 (KS)
- Practice address
- 202 N Main St
El Dorado, KS 67042-2018 - Phone
- (316) 321-0300
- Fax
- (316) 321-1010
- NPI assigned
- Jun 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60660 | KS | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Dorado Family Dentistry P.a. | Past | Accepting new patients | |
| El Dorado Family Dentistry | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 60660 | KS | Yes |
Addresses
Primary practice location
202 N Main St
El Dorado, KS 67042-2018
Mailing address
202 N Main St
El Dorado, KS 67042-2018
Phone (316) 321-0300
Other providers in El Dorado, KS
- Robert A Moore
- Nicole Morton
- Kristy R Motter
- Jennifer Marie Nelson
- Thanh Nguyen
- Diane D Nightengale
- Nolan Andrews DDS PA
- Chinwe A Okonkwo
- Ndubueze Fidelis Okonkwo
- Phillip Stanley Olsen
All providers in El Dorado, KS · General Practice Dentistry in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.