# STEVEN L. NICHOLSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174860951
- **Authorized official:** DR. STEVEN L NICHOLSON DDS (PRESIDENT)
- **Authorized official phone:** (812) 481-2121

## Contact information

- **Practice address:** 1444 EXECUTIVE BLVD, JASPER, IN 47546-9300
- **Practice address phone:** (812) 481-2121
- **Practice address fax:** (812) 481-2215
- **Mailing address:** PO BOX 1014, JASPER, IN 47547-1014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7641 | IN | Yes |

## Other

- **Enumeration date:** 01/14/2013
- **Last updated:** 01/14/2013