Doctor Name: | DR. NEAL JARED NATION |
NPI Number: | 1639152184 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 6299 |
Business Practice Address: | 6750 N 19th Ave Phoenix, AZ - 850151127 |
Business Phone Number: | 6022425741 |
Business Fax Number: | 6022425742 |
Mailing Address: | 23956 N 74th St, SCOTTSDALE |
State: | AZ |
Postal Code: | 852553420 |
Phone Number: | 4806642175 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 6299 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |