Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295757102 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Alan Nichols , DDS

Dentist - General Practice • Ogden, UT

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

Registration / Start Date July 24, 2006
NPI Deactivation Date August 24, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Nichols, DDS was a registered Dentist - General Practice practicing in Ogden, UT. Throughout an active medical career spanning 16 years, Dr. Nichols provided care at the practice location at 450 39TH ST until profile deactivation on 2022-08-24.

Practice Location & Contact Primary Location

Practice Address

450 39th St

Ogden, UT 844031838

Telephone 8016214421
Fax 8013927467
Associated Practice Facility / Clinic
🏢 Mark A. Nichols, D.d.s. Facility NPI 1851312037

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ogden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
68 Specialists

Practicing in Ogden, UT (1388 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 UT 272061

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

1 Associated Practitioners
Dr. David Wayment , DDS

Dentist - General Practice

NPI 1487673117

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 24, 2022

Record deactivated on August 24, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 450 39TH ST, OGDEN, UT 844031838 (Tel: 8016214421)

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Updated Business Mailing Address July 08, 2007

Registered at 450 39TH STREET, OGDEN, UT 84403 (Tel: 8016214421)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARK NICHOLS, DDS

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

Dentist (License #272061 in UT)

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Initial NPI Registration & Enumeration July 24, 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: 1295757102
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2006
Last Update: July 08, 2007
Deactivation Date: August 24, 2022

Mailing Address

450 39th Street

Ogden, UT 84403

Phone: 8016214421

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.