Dr. Michael Ray Nicholson , DDS
Dentist - General Practice • Cerritos, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Michael Nicholson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Michael Nicholson, DDS was a registered Dentist - General Practice practicing in Cerritos, CA. Throughout an active medical career spanning 2 years, Dr. Nicholson provided care at the practice location at 10929 SOUTH ST STE 106B until profile deactivation on 2020-12-03.
Practice Location & Contact Primary Location
10929 South St Ste 106b
Cerritos, CA 907035373
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Cerritos, CA
Practicing in Cerritos, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 03, 2020
NPI status registered as active in NPPES database
Registered at 10929 SOUTH ST STE 106B, CERRITOS, CA 907035373 (Tel: 8183982609)
Registered at 3530 MOUND VIEW AVE, STUDIO CITY, CA 916043624 (Tel: 8183982609)
Recorded as MICHAEL NICHOLSON, DDS
Dentist (License #21927 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3530 Mound View Ave
Studio City, CA 916043624
Phone: 8183982609
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