Provider Demographics
NPI:1609601814
Name:NASH FAMILY DENTAL, LLC
Entity type:Organization
Organization Name:NASH FAMILY DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-256-0410
Mailing Address - Street 1:7086 LANSDOWNE ST
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2270
Mailing Address - Country:US
Mailing Address - Phone:614-256-0410
Mailing Address - Fax:
Practice Address - Street 1:1320 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-4004
Practice Address - Country:US
Practice Address - Phone:614-256-0410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental