TINA NICHOLS DDS CORPORATION
NPI 1225723877
Clinic/Center - Dental in Little Rock, AR
Active since April 10, 2023
About Tina Nichols Dds Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA NICHOLS DDS CORPORATION (NPI 1225723877) is a healthcare organization registered as a dental in Little Rock, Arkansas and active in the NPI registry since April 2023. The organization lists Mandy Scruggs, Office Manager, as its authorized official.
NPPES Registry Identity
NPI1225723877
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTINA NICHOLS DDS CORPORATION
Location Address619 BEECHWOOD STLittle Rock, AR 72205-3846
Mailing Address619 Beechwood StLittle Rock, AR 72205-3846 · (150) 166-4744 · Fax (501) 232-9053
Phone(150) 166-4744
Fax(501) 232-9053
Organization SubpartNo
Authorized OfficialMandy ScruggsOffice Manager · (501) 664-7444
Enumeration DateApril 10, 2023
NPPES CertifiedApril 10, 2023
✔ NPI 1225723877 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
619 BEECHWOOD ST, Little Rock, AR 72205
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225723877, enumerated as an "organization" on April 10, 2023.
The provider is located at 619 BEECHWOOD ST LITTLE ROCK, AR 72205 and the phone number is (150) 166-4744.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.