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Jonathan Nichols, D.M.D
NPI 1689085474 · on the registry since 2014 · sole proprietor
Practice
- Address
- 6643 U S Highway 98
Hattiesburg, MS 39402 - Phone
- (601) 450-6060
- Fax
- (601) 450-6062
- Organisation at this address
- Petal Dental Properties
Middleton & Belknap Pediatric Dentistry PllcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Pediatric Dentistry
1223P0221X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-01
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 Mississippi