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Active NPI 1669543310 Individual Practitioner Male Practitioner

Dr. Terry Emmitt Nichols , DMD

Dentist - General Practice • Graceville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Terry Nichols, DMD is a registered healthcare professional specializing in Dentist - General Practice in Graceville, FL. Practice services are available at 966 7TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

966 7th Ave

Graceville, FL 32440

Telephone 8502636400
Fax 8502634717
Associated Practice Facility / Clinic
🏢 Terry E Nichols Dmd Pa Facility NPI 1326223843

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Graceville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Graceville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN0012762

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oral Health Services
995851

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Nicholas Varcadipane , DMD

Dentist - General Practice

NPI 1184555021

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 966 7TH AVE, GRACEVILLE, FL 32440 (Tel: 8502636400)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 614, 966 7TH AVE, GRACEVILLE, FL 32440 (Tel: 8502636400)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TERRY NICHOLS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN0012762 in FL)

🟢
Initial NPI Registration & Enumeration November 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669543310
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 614, 966 7th Ave

Graceville, FL 32440

Phone: 8502636400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.