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Individual
ZACHARY JAMES NICHOLSON
Active
Individual
ZACHARY JAMES NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
12806
TN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
12806
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/01/2019
Last updated
07/29/2025
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