Individual provider · Type 1 NPI

Timothy Daniel Nichols, DDS

Pediatric Dentistry · Denver, CO

NPI number 1467611517 Active

Practice location

4383 Tennyson St, 1F
Denver, CO 80212-2363

Fax (303) 416-4420

Mailing address

2055 Ken Pratt Blvd Ste B
Longmont, CO 80501-6596

Other practice locations

  • 777 Bannock St, Denver, CO 80204-4597 · (303) 436-4949
  • 2055 Ken Pratt Blvd Ste B, Longmont, CO 80501-6596 · (303) 776-1194

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X9211 (CO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1467611517

Timothy Daniel Nichols, DDS's National Provider Identifier is 1467611517, issued on Jun 4, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Denver, CO. The record was last updated on Jul 27, 2026.