Dental Board of California
Licensing details for: 20425
Name: NICHOLSON, CHARLES SIMMS III
License Type: Dentist
Primary Status: Expired
Secondary Status: Radiation Safety Certification issued by the Board
Previous Names: NICHOLSON, CHARLES SIMMS
Address of Record
236 Jamacha Rd
101
EL CAJON CA 92019-2366
SAN DIEGO county
Map
License Relationships
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: C.S. NICHOLSON, III, D.D.S., INC
License/Registration Type: Additional Office Permit
License Number: 11491 Primary Status: Cancelled
Address :
913 E VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: C.S. NICHOLSON III DDS INC
License/Registration Type: Additional Office Permit
License Number: 79947 Primary Status: Expired
Address :
1415 RIDGEBACK RD
CHULA VISTA CA 91910
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NICHOLSON PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Additional Office Permit
License Number: 8933 Primary Status: Cancelled
Address :
985 S. SANTA FE AVE.
STE. 5
VISTA CA 92083
SAN DIEGO COUNTY
AO to DDS or OMS (Owners)
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Additional Office Permit
Name: NORDQUIST AND NICHOLSON PROFESSIONAL DENTAL CORP.
License/Registration Type: Additional Office Permit
License Number: 11475 Primary Status: Cancelled
Address :
1680 S MELROSE DR STE 108
VISTA CA 92081
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: UNIVERSITY TOWNE DENTAL GROUP OF NICHOLSON
License/Registration Type: Fictitious Name Permit
License Number: 5649 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW
STE 130
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FLETCHER PARKWAY FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13697 Primary Status: Cancelled
Address :
9717 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALL COUNTIES SPECIALTY CARE, DENTAL GROUP OF HEMET, C.S. NICHOLSO
License/Registration Type: Fictitious Name Permit
License Number: 8445 Primary Status: Cancelled
Address :
250 SOUTH LYON AVENUE
STE. C
HEMET CA 92543
RIVERSIDE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTEE COTTONWOOD DENTAL GROUP, C.S. NICHOLSON III DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 15627 Primary Status: Cancelled
Address :
236 JAMACHA ROAD., SUITE 101
EL CAJON CA 92019
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: RIDGEBACK FAMILY DENTAL GROUP, C.S. NICHOLSON III D.D.S. INC.
License/Registration Type: Fictitious Name Permit
License Number: 12938 Primary Status: Expired
Address :
1415 RIDGEBACK ROAD, SUITE 21
CHULA VISTA CA 91910
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SAN DIEGO DENTAL GROUP OF VALLEY PARKWAY, C. S. NICHOLSON,III, DD
License/Registration Type: Fictitious Name Permit
License Number: 8730 Primary Status: Cancelled
Address :
913 E. VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SANTEE COTTONWOOD DENTAL GROUP, C. S. NICHOLSON III, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7218 Primary Status: Cancelled
Address :
9715 MISSION GORGE RD.
SANTEE CA 92071
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ALL COUNTIES SPECIALTY CARE, DENTAL GROUP, C. S. NICHOLSON III, D
License/Registration Type: Fictitious Name Permit
License Number: 7219 Primary Status: Cancelled
Address :
9717 MISSION GORGE RD.
SANTEE CA 92071
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: VISTA FAMILY DENTAL GROUP OF NICHOLSON PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 5588 Primary Status: Cancelled
Address :
985 SOUTH SANTA FE, STE 5
VISTA CA 92083
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: FLETCHER PARKWAY FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFE
License/Registration Type: Fictitious Name Permit
License Number: 10548 Primary Status: Cancelled
Address :
2295 FLETCHER PARKWAY, STE. 101
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: LIVE OAK FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 10082 Primary Status: Cancelled
Address :
1680 SOUTH MELROSE DRIVE, STE. 108
VISTA CA 92081
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA FAMILY DENTAL SPECIALTY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 5589 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD, STE A
SAN DIEGO CA 92124
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: PACIFIC DENTAL SURGERY CENTER, A SPECIALIST
License/Registration Type: Fictitious Name Permit
License Number: 4364 Primary Status: Cancelled
Address :
4850 COMMERCE DR, STE 100
BAKERSFIELD CA 93309
KERN COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: 4TH AVE FAMILY DENTAL & IMPLANT DENTISTRY OF SAN DIEGO DENTAL GRO
License/Registration Type: Fictitious Name Permit
License Number: 10094 Primary Status: Cancelled
Address :
1901 4TH AVENUE, STE. 300
SAN DIEGO CA 92101
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: RIDGEBACK FAMILY DENTAL GROUP, C.S. NICHOLSON III D.D.S. INC.
License/Registration Type: Fictitious Name Permit
License Number: 12938 Primary Status: Expired
Address :
1415 RIDGEBACK ROAD, SUITE 21
CHULA VISTA CA 91910
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ALL COUNTIES SPECIALTY CARE, DENTAL GROUP OF HEMET, C.S. NICHOLSO
License/Registration Type: Fictitious Name Permit
License Number: 8445 Primary Status: Cancelled
Address :
250 SOUTH LYON AVENUE
STE. C
HEMET CA 92543
RIVERSIDE COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: VISTA FAMILY DENTAL GROUP OF NICHOLSON PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 5588 Primary Status: Cancelled
Address :
985 SOUTH SANTA FE, STE 5
VISTA CA 92083
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: UNIVERSITY TOWNE DENTAL GROUP OF NICHOLSON
License/Registration Type: Fictitious Name Permit
License Number: 5649 Primary Status: Cancelled
Address :
4150 REGENTS PARK ROW
STE 130
LA JOLLA CA 92037
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FLETCHER PARKWAY FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFESSIONAL DENTAL CORPORATION
License/Registration Type: Fictitious Name Permit
License Number: 13697 Primary Status: Cancelled
Address :
9717 MISSION GORGE RD
SANTEE CA 92071
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SANTEE COTTONWOOD DENTAL GROUP, C. S. NICHOLSON III, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 7218 Primary Status: Cancelled
Address :
9715 MISSION GORGE RD.
SANTEE CA 92071
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: PACIFIC DENTAL SURGERY CENTER, A SPECIALIST
License/Registration Type: Fictitious Name Permit
License Number: 4364 Primary Status: Cancelled
Address :
4850 COMMERCE DR, STE 100
BAKERSFIELD CA 93309
KERN COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: 4TH AVE FAMILY DENTAL & IMPLANT DENTISTRY OF SAN DIEGO DENTAL GRO
License/Registration Type: Fictitious Name Permit
License Number: 10094 Primary Status: Cancelled
Address :
1901 4TH AVENUE, STE. 300
SAN DIEGO CA 92101
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SANTEE COTTONWOOD DENTAL GROUP, C.S. NICHOLSON III DDS INC
License/Registration Type: Fictitious Name Permit
License Number: 15627 Primary Status: Cancelled
Address :
236 JAMACHA ROAD., SUITE 101
EL CAJON CA 92019
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SAN DIEGO DENTAL GROUP OF VALLEY PARKWAY, C. S. NICHOLSON,III, DD
License/Registration Type: Fictitious Name Permit
License Number: 8730 Primary Status: Cancelled
Address :
913 E. VALLEY PARKWAY
ESCONDIDO CA 92025
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: FLETCHER PARKWAY FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFE
License/Registration Type: Fictitious Name Permit
License Number: 10548 Primary Status: Cancelled
Address :
2295 FLETCHER PARKWAY, STE. 101
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: ALL COUNTIES SPECIALTY CARE, DENTAL GROUP, C. S. NICHOLSON III, D
License/Registration Type: Fictitious Name Permit
License Number: 7219 Primary Status: Cancelled
Address :
9717 MISSION GORGE RD.
SANTEE CA 92071
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: TIERRASANTA FAMILY DENTAL SPECIALTY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 5589 Primary Status: Cancelled
Address :
10715 TIERRASANTA BLVD, STE A
SAN DIEGO CA 92124
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: LIVE OAK FAMILY DENTAL GROUP, NORDQUIST & NICHOLSON PROFESSIONAL
License/Registration Type: Fictitious Name Permit
License Number: 10082 Primary Status: Cancelled
Address :
1680 SOUTH MELROSE DRIVE, STE. 108
VISTA CA 92081
SAN DIEGO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: NICHOLSON, CHARLES SIMMS III
License/Registration Type: General Anesthesia Permit
License Number: 747 Primary Status: Renewal Denied
Address :
3500 ROCK RIDGE ROAD
CARLSBAD CA 92071
SAN DIEGO COUNTY
