DR. Keith Nicholson, D.D.S
NPI #1093959660 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1093959660
- Entity Type
- Individual
- Name
- DR. Keith Nicholson, D.D.S
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Credential
- D.D.S
- Enumeration Date
- Apr 27, 2009
- Last Updated
- May 28, 2023
Practice Location
- Address
- 100 S BROAD ST STE 1530
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19110-1026
- Phone
- (267) 691-0606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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