SearchTennessee122300000X

Jason Nicholson, DDS

NPI 1053446450 · on the registry since 2007

Practice

Address
6151 Hwy 411
Benton, TN 37307
Phone
(423) 338-8519
Fax
(423) 338-8576

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee