Provider Demographics
NPI:1477129070
Name:ENGLISH, NICHOLAS ERIC (DMD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ERIC
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 E KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40204-1935
Mailing Address - Country:US
Mailing Address - Phone:502-794-6853
Mailing Address - Fax:
Practice Address - Street 1:1706 WILLIAMSBURG DR
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-8013
Practice Address - Country:US
Practice Address - Phone:812-913-0693
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY105781223G0001X
IN12013626A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice