person
Dr. Jason Daniel Nicholson, DDS
Periodontist in Oklahoma City, Oklahoma
NPI 1598086001

Jason Daniel Nicholson is a Periodontist based in Provo, OK and is specialized in Periodontics. Jason Daniel Nicholson practices in Oklahoma City, OK and has the professional credentials of DDS. The NPI Number for Jason Daniel Nicholson is 1598086001 and holds a License No. 9410532-9923 (Oklahoma).

The current practice location address for Jason Daniel Nicholson is 2401 Nw 23Rd St, Oklahoma City, OK and can be reached out via phone at 405-942-0337. You can also correspond with Jason Daniel Nicholson through the mailing address at 1355 N UNIVERSITY AVE SUITE #110, PROVO, UT - 84604 (mailing address contact number: 385-309-0309).

Location: 2401 Nw 23Rd St, Oklahoma City, OK, 84604
person
Provider Profile Details
NPI Number
1598086001
Provider Name
Jason Daniel Nicholson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2401 Nw 23Rd St, Oklahoma City, OK, 84604
Phone Number
405-942-0337
Fax Number
Provider Enumeration Date
06/18/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2401 Nw 23Rd St
City
State
Zip
73107-2442
Phone Number
405-942-0337
Fax Number
person
Provider Business Mailing Address Details
Address
2401 Nw 23Rd St
City
State
Zip
73107-2442
Phone Number
405-942-0337
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
License No.
9410532-9923 (Utah)
Definition
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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