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NPI Code Detail

MEDICARE: DR. PHILIP S. NASH DDS

MEDICARE:  DR. PHILIP S. NASH  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
11223G0001XGeneral Practice Dentistry033408NY

General Provider Information

NPI Number : 1548473770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PHILIP S. NASH DDS
Provider Business Mailing Address
First Line : 5 TOBEY CT
Second Line :
City : PITTSFORD
State : NY
Zip : 14534-1854
Country : US
Telephone Number : 585-586-2490
Fax Number :
Provider Business Practice Location Address
First Line : 3665 COUNTRYSIDE LN
Second Line :
City : MARION
State : NY
Zip : 14505-9781
Country : US
Telephone Number : 315-926-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. PHILIP S. NASH DDS” Practice Location

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