Max Tejeda-Nichols, C.D
NPI 1932380433 · on the registry since 2007
Practice
- Address
- 409 Lincoln Hwy
Rochelle, IL 61068 - Phone
- (815) 562-9742
- Organisation at this address
- Shady Oak Dental Llc - Rochelle Family Dental
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-26
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 Illinois