| James R. Nass D.d.s. Llc | |
|
803 Oak Ridge Dr Plymouth WI 53073-4040 | |
| (920) 892-2117 | |
| Not Available |
| Full Name | James R. Nass D.d.s. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 803 Oak Ridge Dr, Plymouth, Wisconsin |
| Authorized Official Name and Position | James Richardt Nass (OWNER) |
| Authorized Official Contact | 9208922117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R. Nass D.d.s. Llc 803 Oak Ridge Dr Plymouth WI 53073-4040 Ph: (920) 892-2117 | James R. Nass D.d.s. Llc 803 Oak Ridge Dr Plymouth WI 53073-4040 Ph: (920) 892-2117 |
| NPI Number | 1750452389 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750452389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2430-015 (Wisconsin) | Primary |
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