Individual provider · Type 1 NPI

Jeffrey Charles Nickel, DMD MSC PHD

Orthodontics and Dentofacial Orthopedics Dentistry · Portland, OR

NPI number 1679440192 Active

Practice location

2730 S Moody Ave
Portland, OR 97201-5042

Call (503) 494-8223 Map

Fax (503) 494-5777

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDF0041 (OR)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1679440192

Jeffrey Charles Nickel, DMD MSC PHD's National Provider Identifier is 1679440192, issued on Oct 20, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Portland, OR. The record was last updated on Oct 20, 2025.