MEDICARE: DR. NATALIE NEBBLETT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	22D102272100	NJ
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	22D102272100	NJ

General Provider Information

NPI Number	:	1134112568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIE NEBBLETT DDS

Provider Business Mailing Address
First Line	:	977 LIVINGSTON AVE
Second Line	:	DENTAL HEALTH ASSOC
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1843
Country	:	US
Telephone Number	:	732-418-9800
Fax Number	:

Provider Business Practice Location Address
First Line	:	977 LIVINGSTON AVE
Second Line	:	DENTAL HEALTH ASSOC
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1843
Country	:	US
Telephone Number	:	732-418-9800
Fax Number	:	732-418-0048

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	01/23/2017

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