Russell Dewitt Nichols, DMD - Dentist in Enterprise, AL

Russell Dewitt Nichols, DMD is a Dentist - General Practice based in Enterprise, Alabama. Russell Dewitt Nichols is licensed to practice in Alabama (license number 4810A1) and his current practice location is 812 Boll Weevil Cir, Enterprise, Alabama. He can be reached at his office (for appointments etc.) via phone at (334) 347-9283.

NPI number for Russell Dewitt Nichols is 1780623843 and his current mailing address is 108 E Kingswood Dr, Enterprise, Alabama. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780623843.

Contact Information

Russell Dewitt Nichols, DMD
812 Boll Weevil Cir,
Enterprise, AL 36330-2079
(334) 347-9283
(334) 347-7664



Healthcare Provider's Profile

Full NameRussell Dewitt Nichols
GenderMale
SpecialityDentist - General Practice
Location812 Boll Weevil Cir, Enterprise, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780623843
  • Provider Enumeration Date: 06/05/2006
  • Last Update Date: 04/08/2008

Medical Identifiers

Medical identifiers for Russell Dewitt Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780623843NPI-NPPES
51027316OtherALBLUE CROSS BLUE SHIELD
487225OtherALUNITED CONCORDIA
4810OtherALDELTA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4810A1 (Alabama)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russell Dewitt Nichols is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Russell Dewitt Nichols, DMD
108 E Kingswood Dr,
Enterprise, AL 36330-4119

Ph: (334) 347-9283
Russell Dewitt Nichols, DMD
812 Boll Weevil Cir,
Enterprise, AL 36330-2079

Ph: (334) 347-9283

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› Verified 9 days ago


Dentist in Enterprise, AL

Dr. Harutun Arthur Missirlian, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2 E Pointe Ct, Enterprise, AL 36330
Phone: 334-347-3061    Fax: 334-347-1101
Dr. William Baxter Collier Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 442 Glover Ave, Enterprise, AL 36330
Phone: 334-347-5026    Fax: 334-347-0117
Dr. Solange Perez Johnson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2 E Pointe Ct, Enterprise, AL 36330
Phone: 334-347-3061    
Dr. Brad Lomax Marsh, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 412 Glover Ave, Enterprise, AL 36330
Phone: 334-347-6702    
Dr. William Nicholas Turner, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 736 E Lee St, Enterprise, AL 36330
Phone: 334-347-0096    
Dr. Kanecia Tolbert, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 623 Boll Weevil Cir Ste 1, Enterprise, AL 36330
Phone: 334-352-3777    
Dr. Andrew J Mills, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 204 N Edwards St, Enterprise, AL 36330
Phone: 334-347-8538    Fax: 334-393-2316

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