The primary aim is to assess the nicotine dependence in a group of smokeless tobacco by using a six-questionFagerstrom Test for Nicotine Dependence for Smokeless Tobacco (FTND-ST) and to assess the nicotine dependence among three groups, namely Group - 1, who were exclusively pan masala, gutka chewers, Group - 2, who were exclusively Hans users, and Group - 3, who were exclusively betel quid with smokeless tobacco chewers. Only those who use smokeless tobacco in the age groups between 21 to 70 years were randomly selected. The total sample size is 100 patients. The age groups were divided into 21-28, 29-35, 36-42, 43-49, 50-56, 57-63, and 64-70. Informed consent was obtained from the participants of the study. The Hans chewers are predominantly females. Pan masala and gutka chewers are predominantly males. Smokeless tobacco chewers like pan masalawere found to have high mean nicotine dependence Fagerstrom score than Hans and betel quid with smokeless tobacco chewers.