MEDICARE: DR. ALAN NATHANSON 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	DS021460L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232440843	OTHER	PA	FED TAX ID

General Provider Information

NPI Number	:	1457330375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN NATHANSON DDS

Provider Business Mailing Address
First Line	:	2578 ORTHODOX ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19137-1636
Country	:	US
Telephone Number	:	215-533-7175
Fax Number	:	215-533-6026

Provider Business Practice Location Address
First Line	:	2578 ORTHODOX ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19137-1636
Country	:	US
Telephone Number	:	215-533-7175
Fax Number	:	215-533-6026

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

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	09/13/2011

Similar Medicare Providers

1053418293 — CHRISTA HABBOUSHE, MD, LLC
Practice Location Address:

4534 RICHMOND ST
PHILA, PA
19137-2040

Practice Phone: 215-743-3335
Practice Fax: 215-744-2109

1104675222 — KATRINA BURGESS RD, LDN
Practice Location Address:

1512 SOUTH ST
PHILA, PA
19146-1636

Practice Phone: 267-699-8274
Practice Fax:

1710039011 — DR. KIMBERLY L. PHAM D.D.S.
Practice Location Address:

3420 NE LOOP 286
PARIS, TX
75460-5003

Practice Phone: 903-784-4591
Practice Fax: 903-784-4682

1730171323 — JEFFREY M BROSOF OD
Practice Location Address:

6778 RIDGE AVE FL 1
PHILA, PA
19128-2487

Practice Phone: 215-483-1636
Practice Fax:

1629077334 — DR. PAUL STUART KARLIN D.O.
Practice Location Address:

445 SHADY LN , 2ND FL
HUNTINGDON VALLEY, PA
19006-8749

Practice Phone: 215-663-9095
Practice Fax: 215-663-9578

1447259049 — DR. ALLAN PERRY FREEDMAN M.D.
Practice Location Address:

445 SHADY LN , 2ND FL
HUNTINGDON VALLEY, PA
19006-8749

Practice Phone: 215-663-9095
Practice Fax: 215-663-9578

Directions to “ DR. ALAN NATHANSON DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.