Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417182916 Individual Practitioner Male Practitioner

Dr. Nathaniel T Nicholson , DDS, MS

Dentist - Endodontics • Pasadena, MD

Professional Overview & Biography Verified Profile Summary

Dr. Nathaniel Nicholson, DDS, MS is a registered healthcare professional specializing in Dentist - Endodontics in Pasadena, MD. Practice services are available at 8221 RITCHIE HWY STE 201 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8221 Ritchie Hwy Ste 201

Pasadena, MD 211223941

Telephone 4106473453
Fax 4106473454

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Pasadena, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Pasadena, MD (174 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

CMS Verified: 2021-11-07
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License MD 15392

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WV 3860

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Anthony Shahata , DMD

Dentist - Endodontics

NPI 1336889757

Doctor of Dental Medicine

Titi Asmara

Dentist - Endodontics

NPI 1407561996

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location November 07, 2021

Registered at 8221 RITCHIE HWY STE 201, PASADENA, MD 211223941 (Tel: 4106473453)

📍
Updated Business Mailing Address November 07, 2021

Registered at 8221 RITCHIE HWY STE 201, PASADENA, MD 211223941 (Tel: 4106473453)

📍
Updated Practice Location September 03, 2019

Registered at 888 BESTGATE RD STE 220, ANNAPOLIS, MD 214012953 (Tel: 4102246150)

📍
Updated Business Mailing Address September 03, 2019

Registered at 888 BESTGATE RD STE 220, ANNAPOLIS, MD 214012953 (Tel: 4102246150)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 03, 2019

Dentist (License #3860 in WV)

NPI Profile Active September 01, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2014

Registered at 4 INDUSTRIAL PARK DR, SUITE 4C, WALDORF, MD 206022757 (Tel: 3016452028)

📍
Updated Business Mailing Address September 01, 2014

Registered at PO BOX 793, WALDORF, MD 206040793 (Tel: 3016452028)

👤
Provider Name / Credentials Updated September 01, 2014

Recorded as NATHANIEL NICHOLSON, D.D.S., M.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2014

Dentist (License #15392 in MD)

🟢
Initial NPI Registration & Enumeration May 27, 2009

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: 1417182916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2009
Last Update: November 07, 2021
Sole Proprietor: Yes

Mailing Address

8221 Ritchie Hwy Ste 201

Pasadena, MD 211223941

Phone: 4106473453

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.