DR. JACOB NICHOLS DMD
NPI 1013533496
Dentist - General Practice in Portland, ME

Active since June 22, 2020
163 PLEASANT AVE, PORTLAND, ME 04103(207) 771-2093 Get Directions Write a Review

NPPES record last updated: June 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob Nichols Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB NICHOLS DMD (NPI 1013533496) is an individual general practice provider in Portland, Maine, licensed in Maine (DEN4802) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1013533496
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB NICHOLSCredential: DMD
Location Address163 PLEASANT AVEPortland, ME 04103-3242
Mailing Address27 Buca RunPortland, ME 04103-1478 · (207) 408-1001
Sole ProprietorNo
Enumeration DateJune 22, 2020
NPPES CertifiedJune 22, 2020
NPI 1013533496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ME · DEN4802
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
163 PLEASANT AVE, Portland, ME 04103

Other Identifiers 1

OtherDEN4802ME · Maine Dental License

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
163 PLEASANT AVE
PORTLAND, ME 04103
Dentist
163 PLEASANT AVE, SUITE 2
PORTLAND, ME 04103
Dentist
163 PLEASANT AVE
PORTLAND, ME 04103
Dentist (General Practice)
163 PLEASANT AVE
PORTLAND, ME 04103
Dentist
163 PLEASANT AVE
PORTLAND, ME 04103
Dentist (General Practice)
163 PLEASANT AVE
PORTLAND, ME 04103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Nichols's NPI number?

The NPI number for Jacob Nichols is 1013533496. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Jacob Nichols located?

Jacob Nichols practices at 163 Pleasant Ave, Portland, ME 04103. The listed phone number is (207) 771-2093.

What is Jacob Nichols's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacob Nichols was last updated on June 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.