MATTHEW LEE NICHOLS (NPI# 1285807081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285807081 |
| Entity Type | Individual |
| Full Name | MATTHEW LEE NICHOLS |
| Practice Address |
1425 Mcarthur St Manchester TN 37355-2517 |
| Mailing Address |
105 Jennings Cir Tullahoma TN 37388-8853 |
| Practice Telephone | 9319545244 |
| Mailing Telephone | 9315818188 |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2012-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DS0000009136 | TN | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS0000009136 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447819966 | Matthew Nichols | Student in an Organized Health Care Education/Training Program | 216 Central Ave, Elizabethtown, KY 42701-1477 | 2019-06-08 |
| 1588292692 | Matthew David Nichols | Student in an Organized Health Care Education/Training Program | 6500 38th Ave N, St Petersburg, FL 33710-1629 | 2020-04-01 |
| 1558749432 | Matthew O Nichols | Physician Assistant | 580 Court St, The Cheshire Medical Center (er), Keene, NH 03431-1718 | 2015-05-12 |
| 1093028052 | Matthew Nichols | Family Medicine | 270 Main St, Portland, CT 06480-1859 | 2010-07-20 |
| 1700082260 | Matthew Charles Nichols | Emergency Medicine | 10401 W Thunderbird Blvd, Sun City, AZ 85351-3004 | 2007-06-22 |
| 1952451379 | Matthew Nichols | Internal Medicine | 10103 Ridgegate Pkwy, Ste 312, Lone Tree, CO 80124-5520 | 2007-01-10 |
| Street Address |
1425 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235241977 | Michael E Shelton | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2006-08-31 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1033221221 | Leif Sven Swanson | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871649780 | Mark D Abel | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2007-01-25 |
| 1205197647 | Matthew Nichols Dds Oral and Facial Surgery Pllc | Dentist | 1425 Mcarthur St, Manchester, TN 37355-2517 | 2012-06-01 |
| 1477707081 | Rosenlicht Surgery Center | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2008-11-10 |
| 1417114687 | North Manchester Oral and Maxillofacial Surgery, Pllc | Dentist | 27 Sagamore St, Manchester, NH 03104-3547 | 2008-05-16 |
| 1760659544 | Gopi K. Voonna | Dentist | 1 Elliot Way, Manchester, NH 03103-3502 | 2008-05-12 |
| 1174736920 | Prindiville, Peracchio & Saunders, Dmd PC | Dentist | 945 Main St, Suite 310, Manchester, CT 06040-6064 | 2007-05-08 |
| 1407984412 | Kimberlyn Darlene Fowler | Dentist | 555 Auburn St, Manchester, NH 03103 | 2007-03-01 |
| 1922105352 | John Charles Mccabe | Dentist | 483 W Middle Tpke, Ste-200, Manchester, CT 06040 | 2006-09-20 |
| 1295744118 | Joel Lawrence Rosenlicht | Dentist | 483 Middle Tpke W, Manchester, CT 06040-3863 | 2006-08-07 |
| 1497774152 | Ryaz Ansari | Dentist | 483 Middle Tpke W, Suite 102, Manchester, CT 06040-3863 | 2006-07-19 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.