Dr. Nick Withem Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DR. NICK WITHEM DENTAL PLLC

Practice address

467 Main Street
Oxford, MA 01540

Phone

(970) 317-4612

NPI assigned

Mar 20, 2025

Last updated

Mar 20, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nicholas Richard Withem, DMDNPI 1891102752

Title

Dentist

Phone

(970) 317-4612

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicholas Richard Withem, DMD

  • Dentist
  • Farmington, NM
  • NPI 1891102752
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1174324735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HAWKS PERCH",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017761184",
            "telephone_number": "970-317-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 MAIN STREET",
            "city": "OXFORD",
            "state": "MA",
            "postal_code": "01540",
            "telephone_number": "970-317-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICK WITHEM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "WITHEM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-317-4612",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evlen Dasilveira
• Anthony M Debellis, PHARM. D.
• Shannon Theobald Devoe, PHD
• Mario Dillon
• Dr. Antoinette D. Parvis, PC
• Dr. Rene J. N. Hamel DDS
• Jeanne Carol Eames, L.P.N.
• Lenea Entwistle
• Ernest Gailor
• Gianna Garille

• Dental Clinic/Center in Oxford, MA
• Providers in Oxford, MA by specialty
• Dental Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.