Dental Board of California
Licensing details for: 33505
Name: NICHOLLS, DAVID W
License Type: Dentist
Primary Status: Current - Active
Previous Names: NICHOLLS, DAVID WILLIAM
Address of Record
26302 La Paz Rd Ste 102
MISSION VIEJO CA 92691-5327
ORANGE 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: MOODY, NICHOLLS & CUMMINGS, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 8290 Primary Status: Expired
Address :
1171 PUERTA DEL SOL
STE D
SAN CLEMENTE CA 92673
ORANGE 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: MOODY & NICHOLLS, DDS, INC
License/Registration Type: Additional Office Permit
License Number: 7241 Primary Status: Cancelled
Address :
360 SAN MIGUEL ROAD #402
NEWPORT BEACH CA 92660
ORANGE 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: MOODY & NICHOLS DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 5675 Primary Status: Cancelled
Address :
26302 LA PAZ RD STE 102
MISSION VIEJO CA 92691
ORANGE 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: MOODY, NICHOLLS & CUMMINGS, DDS, INC.
License/Registration Type: Additional Office Permit
License Number: 8372 Primary Status: Cancelled
Address :
360 SAN MIGUEL DR, STE 402
NEWPORT BEACH CA 92660
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 12962 Primary Status: Expired
Address :
26302 LA PAZ ROAD, #102
MISSION VIEJO CA 92691
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 13020 Primary Status: Expired
Address :
360 SAN MIGUEL, #402
NEWPORT BEACH CA 92660
ORANGE COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 13021 Primary Status: Expired
Address :
1171 PUERTA DEL SOL, #D
SAN CLEMENTE CA 92673
ORANGE 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: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 13020 Primary Status: Expired
Address :
360 SAN MIGUEL, #402
NEWPORT BEACH CA 92660
ORANGE 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: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 13021 Primary Status: Expired
Address :
1171 PUERTA DEL SOL, #D
SAN CLEMENTE CA 92673
ORANGE 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: ORANGE COUNTY CENTERS FOR ORAL SURGERY AND DENTAL IMPLANTS CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP INC.
License/Registration Type: Fictitious Name Permit
License Number: 12962 Primary Status: Expired
Address :
26302 LA PAZ ROAD, #102
MISSION VIEJO CA 92691
ORANGE 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: NICHOLLS, DAVID W
License/Registration Type: General Anesthesia Permit
License Number: 1733 Primary Status: Current - Active
Address :
26302 La Paz Rd.
#102
MISSION VIEJO CA 92691
ORANGE COUNTY
