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General NPI Number Information
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NPI Number | 1386250082
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Entity Type | Organization
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Legal Business Name | NATHAN E. PFISTER DDS PC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 200 PARKWEST CIR STE 1
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City | DOTHAN
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State | AL
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Zip | 36303-3069
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Country | US
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Telephone | 855-939-5566
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Fax | 334-446-3215
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Provider Business Mailing Address
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Address Line | 200 PARKWEST CIR STE 1
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City | DOTHAN
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State | AL
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Zip | 36303-3069
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Country | US
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Telephone | 334-446-3211
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. NATHAN PFISTER
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Credential | DDS
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Telephone | 334-446-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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