Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750395638 Individual Practitioner Male Practitioner

Dr. Kent N Nicklas , DDS

Dentist - General Practice • Berea, OH

Professional Overview & Biography Verified Profile Summary

Dr. Kent Nicklas, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berea, OH. Practice services are available at 633 W BAGLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

633 W Bagley Rd

Berea, OH 440171356

Telephone 4402344646
Fax 4402341868
Associated Practice Facility / Clinic
🏢 Glenn W. Goist Dds, Inc. Facility NPI 1629088901

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berea, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Berea, OH (4287 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 OH 30.018994

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
Stephen Milhoan

Dentist - General Practice

NPI 1609705037
Dr. Glenn Goist , DDS

Dentist - General Practice

NPI 1992795736

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 30, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2014

Registered at 633 W BAGLEY RD, BEREA, OH 440171356 (Tel: 4402344646)

📍
Updated Business Mailing Address October 30, 2014

Registered at 633 W BAGLEY RD, BEREA, OH 440171356 (Tel: 4402344646)

👤
Provider Name / Credentials Updated October 30, 2014

Recorded as KENT NICKLAS, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2014

Dentist (License #30.018994 in OH)

🟢
Initial NPI Registration & Enumeration July 28, 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: 1750395638
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: October 30, 2014
Sole Proprietor: No

Mailing Address

633 W Bagley Rd

Berea, OH 440171356

Phone: 4402344646

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.