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DR. BROCK WESLEY NICHOLS DDS
NPI 1043882103
Dentist in Shawnee, OK

Active since July 16, 2021
3703 N KICKAPOO AVE, SHAWNEE, OK 74804(405) 275-0640(405) 225-3008 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2024, Jul 16, 2021 (2 updates tracked since 2021).

About Dr. Brock Wesley Nichols Dds NPPES

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

DR. BROCK WESLEY NICHOLS DDS (NPI 1043882103) is an individual dentist in Shawnee, Oklahoma, licensed in Oklahoma (7763) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1043882103
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. BROCK WESLEY NICHOLSCredential: DDS
Location Address3703 N KICKAPOO AVEShawnee, OK 74804-1703
Mailing Address10041 Oakwood DrEdmond, OK 73025-5007 · (405) 436-5583
Phone(405) 275-0640
Fax(405) 225-3008
Sole ProprietorYes
Enumeration DateJuly 16, 2021
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1043882103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in OK · 7763
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D11449 (OR)
3703 N KICKAPOO AVE, Shawnee, OK 74804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MICHAEL BENNETT DMD
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-0640
DR. GLENN DAVIS D.D.S.
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-0640
SUMMER DENTAL SHAWNEE PLLC
Dentist
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-0640
DR. DECKER JAMES LARDNER DDS
Dentist (General Practice)
3703 N KICKAPOO AVE
SHAWNEE, OK 74804
Pottawatomie County (405) 275-0640

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 Brock Nichols's NPI number?

The NPI number for Brock Nichols is 1043882103. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Where is Brock Nichols located?

Brock Nichols practices at 3703 N Kickapoo Ave, Shawnee, OK 74804. The listed phone number is (405) 275-0640.

What is Brock Nichols's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Brock Nichols accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 14 other insurers list Brock Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brock Nichols was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.