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

Katelyn Nichols

Individual provider Public Health Dentistry · NPI 1073997086

Katelyn Nichols is a Public Health Dentistry in Salem, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
Specialties on file
2

Practice location Address checks out

1880 Lancaster Dr NE Ste 121
Salem, OR 97305-1069
Phone: (971) 600-3498
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10277 (OR)
Public Health Dentistry Taxonomy 1223D0001X · Licence D10277 (OR)

Record details

NPI number1073997086
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 20, 2015
Last updated in NPPESMarch 21, 2022
Certification dateMarch 21, 2022
Mailing address1880 Lancaster Dr Ne Ste 121, Salem, OR 97305-1069

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