IndividualActive
Brent Nikolaus, D.D.S.
NPI 1649236696 · Orthodontics and Dentofacial Orthopedics Dentistry · Keesler Afb, MS
Provider details
- NPI number
- 1649236696
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Male
- License
- DS0000004593 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
81st Ds/Sgd
606 Fisher St, Bldg 0824
Keesler Afb, MS 39534-2567
Phone: (228) 377-5890
Approximate (ZIP-level) locationGet directions
Mailing address
3810 Point Clear Dr
Ocean Springs, MS 39564-8193
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.