DR. RICHARD DOUGLAS NICKELS (NPI# 1407368269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407368269 |
| Entity Type | Individual |
| Full Name | DR. RICHARD DOUGLAS NICKELS |
| Credential | DDS |
| Practice Address |
5775 Ridgetop Dr Gainesville GA 30504-9024 |
| Practice Telephone | 7705363827 |
| Mailing Telephone | 7705363827 |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8206 | GA | Dental Providers |
| Street Address |
5775 RIDGETOP DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-9024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761871 | Amanda Ghaffari | Dentist | 8992 Sw 67th Pl, Gainesville, FL 32608-9222 | 2020-08-18 |
| 1326665878 | Ryan Richard Clance | Dentist | 1395 Center Dr # D1-40, Gainesville, FL 32610-3006 | 2020-07-01 |
| 1033735386 | Adam Hadsell | Dentist | 1395 Center Dr # D-17, Gainesville, FL 32610-3006 | 2020-06-23 |
| 1174147292 | Carol Gilbert-orrego | Dentist | 1844 Nw 42nd Ave, Gainesville, FL 32605-1935 | 2020-06-04 |
| 1881227379 | Roaa Sabri Alshafei | Dentist | 1395 Center Dr Ste D2-27, Gainesville, FL 32610-3006 | 2020-02-13 |
| 1679106116 | Yasser Merdad | Dentist | 425 W University Ave Apt 4412, Gainesville, FL 32601-5207 | 2020-02-12 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104385541 | Andreina Dulanto | Dentist | 1395 Center Dr Rm D10-33, Gainesville, FL 32610-3006 | 2019-03-15 |
| 1578027314 | Stephen H Schwartz | Dentist | 4305 Granison Chase, Gainesville, GA 30504-9286 | 2019-01-25 |
| 1366916744 | Pbt Dental LLC | Dentist | 590 S Enota Dr Ne Ste 2, Gainesville, GA 30501-2433 | 2019-01-18 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
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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.