Individual provider · Type 1 NPI

Jonathan Robert Nichols, DMD

Pediatric Dentistry · Hattiesburg, MS

NPI number 1689085474 Active

Practice location

6643 U S Highway 98
Hattiesburg, MS 39402-8442

Call (601) 450-6060 Map

Fax (601) 450-6062

Mailing address

6643 Highway 98
Hattiesburg, MS 39402

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X3761-14 (MS)

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.

2 other providers at this address

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About NPI 1689085474

Jonathan Robert Nichols, DMD's National Provider Identifier is 1689085474, issued on May 14, 2014. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hattiesburg, MS. The record was last updated on Sep 1, 2016.