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DR. KENTON C NICHOLAS DDS
NPI 1407834120
Oral & Maxillofacial Surgery in Greeley, CO

Active since January 03, 2006
1900 16TH ST, GREELEY, CO 80631(970) 350-2458(970) 392-4715 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenton C Nicholas Dds NPPES

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

DR. KENTON C NICHOLAS DDS (NPI 1407834120) is an individual oral & maxillofacial surgery provider in Greeley, Colorado, licensed in Colorado (604) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1407834120
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. KENTON C NICHOLASCredential: DDS
Location Address1900 16TH STGreeley, CO 80631-5114
Mailing Address1900 16th StGreeley, CO 80631-5114 · (970) 350-2458 · Fax (970) 392-4715
Phone(970) 350-2458
Fax(970) 392-4715
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMay 2, 2012
✔ NPI 1407834120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in CO · 604
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1900 16TH ST, Greeley, CO 80631
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Other Identifiers 5

Medicaid02006047CO
Medicare PINC20138CO
OtherP00944805CO · Medicare Railroad Carrier Ptan
Medicare UPINT60254CO
Medicare PINCOA102115CO

Other Providers at the Same Location NPPES 20

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

MS. KATHRYN MILIZIO PA-C
Physician Assistant
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2438
DR. STEVEN O KADING MD
Internal Medicine (Gastroenterology)
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2740
LINDA E YOUNG M.D.
Family Medicine
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2454
DR. MICHAEL T RANDLE MD
Internal Medicine
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2438
DR. LESLEY A FRASER MD
Surgery
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2426
KELLEY STROMER PHARM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 576-3178
MS. AMY S SCHWEERS W.H.N.P
Nurse Practitioner (Women's Health)
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 350-2403
DR. MICHAEL E PEETZ MD
Surgery
1900 16TH ST
GREELEY, CO 80631
Weld County (970) 313-2426

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 Kenton Nicholas's NPI number?

The NPI number for Kenton Nicholas is 1407834120. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Kenton Nicholas located?

Kenton Nicholas practices at 1900 16th St, Greeley, CO 80631. The listed phone number is (970) 350-2458.

What is Kenton Nicholas's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Kenton Nicholas was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.