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

Jason Dewayne Nicholson, DDS

Individual provider Dentist · NPI 1053446450

Jason Dewayne Nicholson, DDS is a Dentist in Benton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

6151 Hwy 411
Benton, TN 37307
Phone: (423) 338-8519
Fax: (423) 338-8576
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 7391 (TN)

Record details

NPI number1053446450
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 23, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 669, Benton, TN 37307