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

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.

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Practice location Address checks out

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