person
Dr. Jonathan Robert Nichols, DMD
Pediatric Dentist in Hattiesburg, Mississippi
NPI 1689085474

Jonathan Robert Nichols is a Pediatric Dentist based in Hattiesburg, MS and is specialized in Pediatric Dentistry. Jonathan Robert Nichols practices in Hattiesburg, MS and has the professional credentials of DMD. The NPI Number for Jonathan Robert Nichols is 1689085474 and holds a License No. 3761-14 (Mississippi).

The current practice location address for Jonathan Robert Nichols is 6643 U S Highway 98, Hattiesburg, MS and can be reached out via phone at 601-450-6060 and via fax at 601-450-6062.

Location: 6643 U S Highway 98, Hattiesburg, MS, 39402
person
Provider Profile Details
NPI Number
1689085474
Provider Name
Jonathan Robert Nichols
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
6643 U S Highway 98, Hattiesburg, MS, 39402
Phone Number
601-450-6060
Fax Number
601-450-6062
Provider Enumeration Date
05/14/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6643 U S Highway 98
City
State
Zip
39402-8442
Phone Number
601-450-6060
Fax Number
601-450-6062
person
Provider Business Mailing Address Details
Address
6643 U S Highway 98
City
State
Zip
39402-8442
Phone Number
601-450-6060
Fax Number
601-450-6062
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3761-14 (Mississippi)
Definition
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.
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