Organization
JAMES A NICHOLSON DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A NICHOLSON DDS MS (ORTHODONTIST)
(601) 268-1111
Entity
Organization
Contact information
Practice address
120 SOUTH 28TH AVENUE, HATTIESBURG, MS 39465
(601) 268-1111
(601) 268-2888
Mailing address
120 SOUTH 28TH AVENUE, HATTIESBURG, MS 39465
(601) 268-1111
(601) 268-2888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
194181
MS
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6863
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04682721
—
MS
Enumeration date
05/11/2007
Last updated
09/11/2025
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