Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154432763 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey G Nichols , DMD

Dentist • Melbourne, FL

⚠️

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. Jeffrey Nichols has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2006
NPI Deactivation Date January 03, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Nichols, DMD was a registered Dentist practicing in Melbourne, FL. Throughout an active medical career spanning 12 years, Dr. Nichols provided care at the practice location at 336 N BABCOCK ST until profile deactivation on 2018-01-03.

Practice Location & Contact Primary Location

Practice Address

336 N Babcock St
#102

Melbourne, FL 32935

Telephone 3212550199
Fax 3212557920
Associated Practice Facility / Clinic
🏢 New Beginnings Obgyn Pa Facility NPI 1235460775

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
34 Specialists

Practicing in Melbourne, FL (6414 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN 15903

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 03, 2018

Record deactivated on January 03, 2018

NPI Profile Active November 14, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2008

Registered at 336 N BABCOCK ST, #102, MELBOURNE, FL 32935 (Tel: 3212550199)

📍
Updated Business Mailing Address November 14, 2008

Registered at 336 N. BABCOCK ST, #102, MELBOURNE, FL 32935 (Tel: 3212550199)

👤
Provider Name / Credentials Updated November 14, 2008

Recorded as JEFFREY NICHOLS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2008

Dentist (License #DN 15903 in FL)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jeffrey Nichols. Be the first to share your experience!

Sign in to leave a review for Dr. Jeffrey Nichols

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154432763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: November 14, 2008
Deactivation Date: January 03, 2018

Mailing Address

336 N. Babcock St, #102

Melbourne, FL 32935

Phone: 3212550199

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.