Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. SCOTT KEVIN NICHOLSON DMD
NPI 1154395259
Dentist - General Practice in Albany, OR

Active since February 15, 2006
715 ELM ST SW, ALBANY, OR 97321(541) 928-6650(541) 928-6650 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Scott Kevin Nicholson Dmd NPPES

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

DR. SCOTT KEVIN NICHOLSON DMD (NPI 1154395259) is an individual general practice provider in Albany, Oregon, licensed in Oregon (D6096) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1154395259
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. SCOTT KEVIN NICHOLSONCredential: DMD
Location Address715 ELM ST SWAlbany, OR 97321-1935
Mailing Address715 Elm St SwAlbany, OR 97321-1935 · (541) 928-6650 · Fax (541) 812-0150
Fax(541) 928-6650
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1154395259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in OR · D6096
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.

715 ELM ST SW, Albany, OR 97321

Other Providers at the Same Location NPPES 2

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

Dentist
715 ELM ST SW
ALBANY, OR 97321
Clinic/Center (Dental)
715 ELM ST SW
ALBANY, OR 97321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154395259, enumerated as an "individual" on February 15, 2006.

The provider is located at 715 ELM ST SW ALBANY, OR 97321 and the phone number is (541) 928-6650.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.