IndividualActive
James Nicholson, DDS MS
NPI 1962674655 · Orthodontics and Dentofacial Orthopedics Dentistry · Hattiesburg, MS
Provider details
- NPI number
- 1962674655
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DDS MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 194181 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
120 South 28th Avenue
Hattiesburg, MS 39401
Phone: (601) 268-1111
Approximate (ZIP-level) locationGet directions
Mailing address
120 South 28th Avenue
Hattiesburg, MS 39401
Registry dates
- Enumerated
- 2008-04-02
- Last updated
- 2008-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.