# NEXUS DENTAL PC

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

## Provider details

- **NPI number:** 1194362731
- **Authorized official:** DR. BRIAN BLOUGH DDS (PRESIDENT)
- **Authorized official phone:** (704) 763-2561

## Contact information

- **Practice address:** 3440 E STATE ROAD 32 \# SETA2, WESTFIELD, IN 46074-8769
- **Practice address phone:** (704) 763-2561
- **Mailing address:** 12890 OLD MERIDIAN ST APT 360, CARMEL, IN 46032-8935

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2019
- **Last updated:** 01/09/2020