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1710274261 NPI number — NATHAN ANTON JARNOT DDS

NPI Number: 1710274261
Health Care Provider/Practitioner: NATHAN ANTON JARNOT DDS

Information about “1710274261” NPI (NATHAN ANTON JARNOT DDS) exists in 1710274261 in HTML format HTML  |  1710274261 in plain Text format TXT  |  1710274261 in PDF (Portable Document Format) PDF  |  1710274261 in an XML format XML  formats.

NPI Number : 1710274261 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710274261",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JARNOT",
    "FirstName": "NATHAN",
    "MiddleName": "ANTON",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1000 EAST FIRST STREET",
    "SecondLineMailingAddress": "SUITE 108",
    "MailingAddressCityName": "DULUTH",
    "MailingAddressStateName": "MN",
    "MailingAddressPostalCode": "55805",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 E 1ST ST STE 108",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DULUTH",
    "PracticeLocationAddressStateName": "MN",
    "PracticeLocationAddressPostalCode": "55805-2297",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "218-722-1854",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/06/2011",
    "LastUpdateDate": "09/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223S0112X",
        "TaxonomyName": "Oral and Maxillofacial Surgery (Dentist)",
        "LicenseNumber": "S133",
        "LicenseNumberStateCode": "MN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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