NATHAN NUSSENBAUM DDS NPI 1235404716

NPI Information

Nathan Nussenbaum, DDS is a general practice dentist in Fort Worth, TX. 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. Nathan Nussenbaum, DDS NPI is 1235404716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8008 CAMP BOWIE BLVD W
FORT WORTH, TX
ZIP 76116
Phone: (817) 335-5555

The NPI 1235404716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/15/2012 and was last updated on 3/15/2012.

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:

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