Nicholson Endodontics LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NICHOLSON ENDODONTICS LLC

Practice address

995 Prince Frederick Blvd Ste 107
Prince Frederick, MD 20678-3199

Phone

(443) 684-2016

NPI assigned

Apr 22, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nathaniel Thorburn Nicholson, DDS, MSNPI 1417182916

Title

Owner

Phone

(443) 684-2016

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathaniel T Nicholson, D.D.S., M.S.

  • Endodontics
  • Pasadena, MD
  • NPI 1417182916
  NPD Authorized official

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1184479115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "GALESVILLE",
            "state": "MD",
            "postal_code": "207650349",
            "telephone_number": "304-290-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 PRINCE FREDERICK BLVD STE 107",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783199",
            "telephone_number": "443-684-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLSON ENDODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "THORBURN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-684-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Nessel
• Newbridge Spine and Pain Center, LLC
• Newbridge Surgery Center at Prince Frederick, LLC
• Stacey Virginia Newman, LCSW-C
• Stephanie Randolph Newman, MS, LCPC, LCADC
• Heather Nicolle, BCBA, LBA
• Karyn A Nicosia
• Ralph Walter Niemann, DDS MS
• Reza Nikpourfard, D.D.S.
• Noah'S Ark ABA LLC

• Dental Clinic/Center in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.