Russell, Nathan Gregory

Russell, Nathan Gregory is an individual health care provider with primary practice located at Psc 94 Box 168 , Apo AE 09824. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Russell, Nathan Gregory can be contacted via phone 903223166104.

Contact Information

Primary practice address
Psc 94 Box 168 Apo AE 09824
Phone: 903223166104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DE00009670 Washington

Profile Details

NPI number 1700870862
LBN Legal business name Russell, Nathan Gregory
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers