Individual
DR. NATHANIEL T NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
8221 RITCHIE HWY STE 201, PASADENA, MD 21122-3941
(410) 647-3453
(410) 647-3454
Mailing address
8221 RITCHIE HWY STE 201, PASADENA, MD 21122-3941
(410) 647-3453
(410) 647-3454
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
15392
MD
1223G0001X
General Practice Dentistry
3860
WV
Other
Enumeration date
05/27/2009
Last updated
11/07/2021
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