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JONATHAN NASH DDS PC NPI 1205006103


NPI Information

NPI: 1205006103
Provider Name: JONATHAN NASH, DDS PC

Doing Business As: DENTISTRY BY DESIGN

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2517 17TH ST
SUITE A
LEWISTON, ID
ZIP 83501
Phone: (208) 746-1373
Get Directions

JONATHAN NASH, DDS PC is a general practice dentist in Lewiston, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JONATHAN NASH, DDS PC NPI is 1205006103. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dentistry By Design.

The provider's business location address is:

2517 17TH ST
SUITE A
LEWISTON, ID
ZIP 83501-311
Phone: (208) 746-1373
Fax: (208) 746-9855

The provider's authorized official is Jonathan B Nash .
The authorized official title is Dds and has the following contact phone number (208) 746-1373.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 7/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeD3242IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1805043900MEDICAIDIDAHO
2149960173OTHERIDAHOADA
31992813182OTHERIDAHONPI # INDIVIDUAL
4000010011285OTHERIDAHOREGENCE BLUE SHIELD
56A242OTHERIDAHOBLUE CROSS
69201666OTHERIDAHOIDAHO SMILES - DORAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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