MEDICARE: DR. NATHAN CHRISTIAN PARRISH 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	5722	OK

General Provider Information

NPI Number	:	1346202546
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATHAN CHRISTIAN PARRISH DDS

Provider Business Mailing Address
First Line	:	2776 RINGGOLD RD
Second Line	:	HQS, USA DENTAC
City	:	FT SILL
State	:	OK
Zip	:	73503-6300
Country	:	US
Telephone Number	:	580-442-3905
Fax Number	:	580-442-4002

Provider Business Practice Location Address
First Line	:	2776 RINGGOLD RD
Second Line	:	HQ, USA DENTAC
City	:	FT SILL
State	:	OK
Zip	:	73503-6300
Country	:	US
Telephone Number	:	580-442-3905
Fax Number	:	580-442-4002

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	08/30/2010

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