Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285642876 Individual Practitioner Male Practitioner

Dr. Jerry Dallas Nichols , DDS

Dentist - General Practice • Pearcy, AR

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Nichols, DDS is a registered healthcare professional specializing in Dentist - General Practice in Pearcy, AR. Practice services are available at 3354 OLD AIRPORT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3354 Old Airport Rd

Pearcy, AR 719649445

Telephone 5017670011
Fax 5017675686
Associated Practice Facility / Clinic
🏢 Stan Ware, Dds Pa Facility NPI 1295007540

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pearcy, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Pearcy, AR (909 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AR 1907

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia Number
841975 (AR)
Commercial Insurance / Payer ID Blue Cross Blue Shield
58471 (AR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3354 OLD AIRPORT RD, PEARCY, AR 719649445 (Tel: 5017670011)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3354 OLD AIRPORT RD, PEARCY, AR 719649445 (Tel: 5017670011)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JERRY NICHOLS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #1907 in AR)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285642876
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3354 Old Airport Rd

Pearcy, AR 719649445

Phone: 5017670011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.