Individual provider · Type 1 NPI

Brian Anthony Nicholson, DMD

General Practice Dentistry · Philadelphia, PA

NPI number 1629968771 Active

Practice location

1625 Chestnut St Ste 228
Philadelphia, PA 19103-4216

Mailing address

4210 Sansom St Apt 401
Philadelphia, PA 19104-3589

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS045147 (PA)

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 1629968771

Brian Anthony Nicholson, DMD's National Provider Identifier is 1629968771, issued on Jul 8, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2025.