Individual provider · Type 1 NPI

Jacy Adam Nicholson, DDS

General Practice Dentistry · Vincennes, IN

NPI number 1306282918 Active

Practice location

630 Kimmell Rd, Suite C
Vincennes, IN 47591-6330

Mailing address

3676 W 200S
Jasper, IN 47546-8200

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X12011947A (IN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1306282918

Jacy Adam Nicholson, DDS's National Provider Identifier is 1306282918, issued on May 22, 2013. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Vincennes, IN. The record was last updated on May 22, 2013.