Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dennis Nicholson, DENTALASSISTANTX2

Individual provider Dental Assistant · NPI 1467803338

Dennis Nicholson, DENTALASSISTANTX2 is a Dental Assistant in Fort Drum, New York. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

10590 Enduring Freedom Dr
Fort Drum, NY 13602-5005
Phone: (315) 772-6234
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Assistant (primary) Taxonomy 126800000X

Record details

NPI number1467803338
Entity typeIndividual (Type 1)
GenderMale
Credentials DENTALASSISTANTX2
Sole proprietorYes
NPI enumeratedJune 22, 2016
Last updated in NPPESJune 22, 2016

Other providers in Fort Drum