Individual provider · Type 1 NPI

Jason Daniel Nicholson, DDS

Periodontics · Oklahoma City, OK

NPI number 1598086001 Active

Practice location

2401 NW 23rd St, Suite 23
Oklahoma City, OK 73107-2442

Call (405) 942-0337 Map

Mailing address

1355 N University Ave Suite #110
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X9410532-9923 (UT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1598086001

Jason Daniel Nicholson, DDS's National Provider Identifier is 1598086001, issued on Jun 18, 2010. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 22, 2016.