Spencer Chong Nicholson, D.D.S

General Practice Dentistry · Hurst, TX

Individual Active NPI

NPI number 1215978655

Practice location

808 NE Mall Blvd
Hurst, TX 76053-4653
Phone
(817) 595-9675

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NPI record

NPI
1215978655
Entity type
Individual (Type 1)
Enumeration date
June 9, 2006
Last updated
February 20, 2021
Certified
February 20, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 35977 TX
General Practice Dentistry 1223G0001X 019025594 IL

Mailing address

4533 Delaina Dr
Flower Mound, TX 75022-0994
Phone
(630) 433-0135

Other practice locations (1)

  • 7 Blanchard Cir, Suite LLG, Wheaton, IL 60187-1037 · (630) 681-0108

About Dr. Nicholson

Spencer Chong Nicholson, D.D.S is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 808 NE Mall Blvd, Hurst, TX 76053-4653. The NPI number 1215978655 was assigned on June 9, 2006 and the record was last updated on February 20, 2021.

Dr. Nicholson lists 2 licenses in the registry: #35977 (TX) for General Practice Dentistry; #019025594 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Spencer Chong Nicholson, D.D.S?

The NPI number is 1215978655.

What is the phone number of Dr. Nicholson?

The phone number listed for the practice location is (817) 595-9675.

Where is Dr. Nicholson located?

808 NE Mall Blvd, Hurst, TX 76053-4653.

What is the taxonomy code for Dr. Nicholson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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.

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