# LES E. NICHOLSON D.D.S. INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1649201443
- **Authorized official:** DR. LES EDWARD NICHOLSON D.D.S. (PRESIDENT)
- **Authorized official phone:** (304) 329-1691

## Contact information

- **Practice address:** 112 E COURT ST, KINGWOOD, WV 26537-1437
- **Practice address phone:** (304) 329-1691
- **Practice address fax:** (304) 329-3382
- **Mailing address:** PO BOX 486, KINGWOOD, WV 26537-0486
- **Mailing address phone:** (304) 329-1691
- **Mailing address fax:** (304) 329-3382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2331 | WV | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0136227001 | — | WV |
| 01 | — | 42673 | UNITED CONCORDIA CORP \# | WV |