Provider Demographics
NPI:1427894740
Name:DENYER, NICOLLE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:NICOLLE
Middle Name:MARIE
Last Name:DENYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 DIVISION ST APT 1431
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-7916
Mailing Address - Country:US
Mailing Address - Phone:786-623-7580
Mailing Address - Fax:
Practice Address - Street 1:4730 LEBANON PIKE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-1313
Practice Address - Country:US
Practice Address - Phone:615-219-5722
Practice Address - Fax:615-203-0752
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12528122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist