Individual
DR. BRIAN ANTHONY NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1625 CHESTNUT ST STE 228, PHILADELPHIA, PA 19103-4216
(215) 336-8399
Mailing address
4210 SANSOM ST APT 401, PHILADELPHIA, PA 19104-3589
(561) 213-2795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS045147
PA
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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