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NPI Code Detail

MEDICARE: DR. NICHOLAS J VOLZ DDS

MEDICARE: DR. NICHOLAS J VOLZ DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry12008829AIN

General Provider Information

NPI Number : 1831260173
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS J VOLZ DDS
Provider Business Mailing Address
First Line : 315 MULBERRY STREET
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-436-0209
Provider Business Practice Location Address
First Line : 315 MULBERRY STREET
Second Line :
City : EVANSVILLE
State : IN
Zip : 47713-1252
Country : US
Telephone Number : 812-421-7489
Fax Number : 812-436-0209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 09/02/2020

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