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NPI Code Detail

MEDICARE: NATHAN A TOLMAN, DMD, PC

MEDICARE: NATHAN A TOLMAN, DMD, PC
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 DentistryD8281OR

General Provider Information

NPI Number : 1740271907
Entity Type Code : Organization
Provider Name (Legal Business Name) : NATHAN A TOLMAN, DMD, PC
Provider Business Mailing Address
First Line : 1180 S PARK ST
Second Line :
City : LEBANON
State : OR
Zip : 97355-3451
Country : US
Telephone Number : 541-451-1991
Fax Number : 541-451-1992
Provider Business Practice Location Address
First Line : 1180 S PARK ST
Second Line :
City : LEBANON
State : OR
Zip : 97355-3451
Country : US
Telephone Number : 541-451-1991
Fax Number : 541-451-1992
Authorized Official
Title or Position : DENTIST/PRESIDENT
Name : DR. NATHAN ALLEN TOLMAN
Credential : D.M.D.
Telephone Number : 541-451-1991
Provider Enumeration Date : 11/04/2005
Last Update Date : 08/22/2020

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