# NATE SWENSEN DMD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134524572
- **Authorized official:** DR. NATHAN SWENSEN DMD (OWNER)
- **Authorized official phone:** (775) 623-5093

## Contact information

- **Practice address:** 530 MELARKEY ST, SUITE \#9, WINNEMUCCA, NV 89445-3178
- **Practice address phone:** (775) 623-5093
- **Practice address fax:** (775) 623-9104
- **Mailing address:** 530 MELARKEY ST, SUITE \#9, WINNEMUCCA, NV 89445-3178
- **Mailing address phone:** (775) 623-5093
- **Mailing address fax:** (775) 623-9104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6454 | NV | Yes |

## Other

- **Enumeration date:** 10/28/2014
- **Last updated:** 10/28/2014
