JAMES S NICHOLSONDDS
NPI 1699940064
Clinic/Center - Dental in Muskogee, OK

Active since April 28, 2008
730 CALLAHAN ST, MUSKOGEE, OK 74403(918) 682-6452(918) 682-6505 Get Directions Write a Review

NPPES record last updated: April 28, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Dental

About JAMES S NICHOLSONDDS

This page provides the complete NPI Profile along with additional information for James S Nicholsondds, a provider established in Muskogee, Oklahoma operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1699940064 assigned on April 2008. The practitioner's primary taxonomy code is 261QD0000X with license number 3655 (OK). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. James S Nicholson Dds (Owner/ President)

NPI
1699940064 Verify this NPI
Provider Name
JAMES S NICHOLSONDDS
Entity Type
Organization
Location Address
730 CALLAHAN ST MUSKOGEE, OK 74403
Location Phone
(918) 682-6452
Location Fax
(918) 682-6505
Mailing Address
730 CALLAHAN ST MUSKOGEE, OK 74403
Mailing Phone
(918) 682-6452
Mailing Fax
(918) 682-6505
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2008
Last Update Date
04-28-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
3655
License State
OK

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JAMES S NICHOLSON DDS

Authorized Official Title
OWNER/ PRESIDENT
Authorized Official Phone
(918) 682-6452

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699940064, enumerated as an "organization" on April 28, 2008.

The provider is located at 730 CALLAHAN ST MUSKOGEE, OK 74403 and the phone number is (918) 682-6452.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.