Samuel Bahram Nicholson, DMD - Dentist in Washington, DC

Samuel Bahram Nicholson, DMD is a Dentist - Pediatric Dentistry based in Washington, District Of Columbia. Samuel Bahram Nicholson is licensed to practice in Ohio (license number 30.027648) and his current practice location is 111 Michigan Ave Nw, Washington, District Of Columbia. He can be reached at his office (for appointments etc.) via phone at (202) 476-5000.

NPI number for Samuel Bahram Nicholson is 1659017051 and his current mailing address is 825 Junction Way Apt 419, Columbus, Ohio. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659017051.

Contact Information

Samuel Bahram Nicholson, DMD
111 Michigan Ave Nw,
Washington, DC 20010-2916
(202) 476-5000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSamuel Bahram Nicholson
GenderMale
SpecialityDentist - Pediatric Dentistry
Location111 Michigan Ave Nw, Washington, District Of Columbia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659017051
  • Provider Enumeration Date: 05/09/2022
  • Last Update Date: 12/03/2024

Medical Identifiers

Medical identifiers for Samuel Bahram Nicholson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659017051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 30.027648 (Ohio)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samuel Bahram Nicholson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Bahram Nicholson, DMD
825 Junction Way Apt 419,
Columbus, OH 43212-2575

Ph: (740) 644-1230
Samuel Bahram Nicholson, DMD
111 Michigan Ave Nw,
Washington, DC 20010-2916

Ph: (202) 476-5000

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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