Most Relevant Information
Provider Data
| NPI Number: | 1003367293 |
| Provider Name: | JUSTIN WILLIAM NICHOLS D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 100587 |
Most Important Dates
| Enumeration Date: | 10/22/2016 |
| Last Updated: | 06/26/2023 |
Provider Practice Location
801 NEWTON RD
IOWA CITY
IA
522421001
Practice Location Phone/Fax
| Phone: | 3193357440 |
| Fax: | 3193357451 |
Provider Mailing Location
322 DENTAL SCIENCE BLDG S
IOWA CITY
IA
522421001
Provider Mailing Phone/Fax
| Phone: | 3193357440 |
| Fax: | 3193357451 |