Samuel Mcnickle, DDS

NPI 1588014187 · on the registry since 2016

Practice

Address: 6140 Tutt Blvd Ste 150
Colorado Springs, CO 80923
Phone: (719) 622-9200
Organisation at this address: Bret W Harrison
Musoif Dental Pc
Flywell Health Llc
Flywell Health, Llc
Mountain Smiles, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-06-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado