Jason Dewayne Nicholson, DDS
Dentist · Benton, TN
Practice location
6151 Hwy 411Benton, TN 37307
- Phone
- (423) 338-8519
- Fax
- (423) 338-8576
NPI record
- NPI
- 1053446450
- Entity type
- Individual (Type 1)
- Enumeration date
- February 23, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
7391 | TN |
Mailing address
PO Box 669Benton, TN 37307
- Phone
- (423) 338-8519
- Fax
- (423) 338-8576
About Dr. Nicholson
Jason Dewayne Nicholson, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6151 Hwy 411, Benton, TN 37307. The NPI number 1053446450 was assigned on February 23, 2007 and the record was last updated on July 8, 2007.
Dr. Nicholson lists a license in the registry: #7391 (TN) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jason Dewayne Nicholson, DDS?
The NPI number is 1053446450.
What is the phone number of Dr. Nicholson?
The phone number listed for the practice location is (423) 338-8519.
Where is Dr. Nicholson located?
6151 Hwy 411, Benton, TN 37307.
What is the taxonomy code for Dr. Nicholson?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.