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

Samuel Bahram Nicholson, DMD

Individual provider Pediatric Dentistry · NPI 1659017051

Samuel Bahram Nicholson, DMD is a Pediatric Dentistry in Washington, District of Columbia. Licensed in Ohio. Registered with an NPI since 2022.

Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

111 Michigan Ave NW
Washington, DC 20010-2916
Phone: (202) 476-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 30.027648 (OH)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1659017051
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 9, 2022
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

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