NPI 1205006103

Jonathan Nash, DDS PC

Organisation General Practice Dentistry Lewiston, ID

Practice location

Address: 2517 17th St Suite a, Lewiston, ID 83501-6311
Phone: (208) 746-1373
Fax: (208) 746-9855
Mailing address: 2517 17th St, Lewiston, ID 83501-6311

Authorised official

Name: Jonathan B Nash
Title: Owner
Phone: (208) 746-1373

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence D3242 (ID)

Other Dentist providers in Idaho →

Registry record

NPI: 1205006103
Entity type: Organization
NPI issued: 6 Mar 2008
Record last updated: 29 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.