Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH NICHOLSON, D.D.S
ActiveDR. KEITH NICHOLSON, D.D.S is a Orthodontics healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1093959660 is currently active in the NPPES registry. Verify at CMS.
Orthodontics · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1093959660
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2009 (17.116995875483 yrs)
- Last Updated
- May 28, 2023
- Licenses
-
8795/879 (KY)8644 (NC)12012234A (IN)DS043962 (PA)8644 (NC)
Practice Information
- Address
-
100 S BROAD ST STE 1530PHILADELPHIA, PA, 191101026Browse PA providers · Browse ZIP 19110
- Phone
- 2676910606
- Primary Specialty
-
Orthodontics
1223X0400X
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
- Additional Specialty
- Orthodontics
- Additional Specialty
- Dentist
Other Orthodontics Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. PHILIP T. SIEGEL | DDS | 1164402004 |
| DR. CHARLES L GEMMI III | DMD | 1306896626 |
| DR. HAROLD L MIDDLEBERG | DMD | 1356391684 |
| DR. PETER MICHAEL GRECO | D.M.D. | 1073556494 |
| DR. STEVEN MICHAEL COHEN | DMD, MSD | 1548280654 |
| DR. ALAN J BORISLOW | D.D.S. | 1942399407 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.