Healthcare Provider Details

I. General information

NPI: 1386561868
Provider Name (Legal Business Name): NANCY NASSAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3012 ANCHOR DR
HAMILTON OH
45011-5036
US

IV. Provider business mailing address

5267 TERRACE RIDGE DR
MILFORD OH
45150-5819
US

V. Phone/Fax

Practice location:
  • Phone: 513-845-1831
  • Fax:
Mailing address:
  • Phone: 513-602-1458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number30.028576
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: