DR. KEITH NICHOLSON, D.D.S
Dentist - Orthodontics and Dentofacial Orthopedics
Active
Individual
NPI: 1093959660
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Orthodontics and Dentofacial Orthopedics | 1223X0400X | Yes | DS043962 (PA) |
| Dentist | 122300000X | No | 8644 (NC) |
Frequently Asked Questions
NPI 1093959660 is the National Provider Identifier for DR. KEITH NICHOLSON, D.D.S, a Dentist - Orthodontics and Dentofacial Orthopedics provider located in Philadelphia, PA. This NPI was enumerated on April 27, 2009.
DR. KEITH NICHOLSON, D.D.S practices at 100 S BROAD ST STE 1530, Philadelphia, PA 19110.
Quick Facts
- NPI
- 1093959660
- Type
- Individual
- Enumerated
- Apr 27, 2009
- Last Updated
- May 28, 2023
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