DR. JERRY DALLAS NICHOLS D.D.S.
NPI 1285642876
Dentist - General Practice in Pearcy, AR

Active since August 03, 2006
3354 OLD AIRPORT RD, PEARCY, AR 71964(501) 767-0011(501) 767-5686 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Dallas Nichols D.d.s. NPPES

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

DR. JERRY DALLAS NICHOLS D.D.S. (NPI 1285642876) is an individual general practice provider in Pearcy, Arkansas, licensed in Arkansas (1907) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1285642876
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY DALLAS NICHOLSCredential: D.D.S.
Location Address3354 OLD AIRPORT RDPearcy, AR 71964-9445
Mailing Address3354 Old Airport RdPearcy, AR 71964-9445 · (501) 767-0011 · Fax (501) 767-5686
Fax(501) 767-5686
Sole ProprietorYes
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285642876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AR · 1907
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.
3354 OLD AIRPORT RD, Pearcy, AR 71964

Other Identifiers 2

Other841975AR · United Concordia Number
Other58471AR · Blue Cross Blue Shield

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 Jerry Nichols's NPI number?

The NPI number for Jerry Nichols is 1285642876. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Jerry Nichols located?

Jerry Nichols practices at 3354 Old Airport Rd, Pearcy, AR 71964. The listed phone number is (501) 767-0011.

What is Jerry 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 Jerry Nichols was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.